This example shows your estimated cost for a filling* if you have Blue Dental PPO Standard. With this plan, we cover 50 percent of the cost of a filling. Other plans may cover a different amount. Remember, PPO and Blue Par Select dentists accept our approved amount. Out-of-network dentists don't. So you're responsible for paying the difference between the dentist's charge and the amount we approve.
| Payment categories | PPO (in-network) dentist | Blue Par Select dentist | Out-of-network dentist |
|---|---|---|---|
| Dentist's fee | $150 | $150 | $150 |
| Our approved amount for this service | $85 | $129 | $129 |
| We pay | $42.50 | $64.50 | $64.50 |
| You pay | $42.50 | $64.50 | $85.50 |
*The cost of the filling is based on prices in Southwest Michigan. Costs may vary around the state.