2023 Blue DentalSM PPO Pediatric 80/50/50

This plan covers dental care for those who are 18 or younger when the plan starts. When you see a dentist in our preferred network, you’ll pay only 20 percent of the cost for basics like cleanings and fluoride treatments.

Overview

About this plan

This pediatric dental plan is for members who are 18 or younger when the plan starts. It provides access to care from more than 3,600 Tier 1 PPO dentists in Michigan, and more than 130,000 nationwide. This plan also gives you the choice to see out-of-network dentists, but you pay more out of pocket.

Availability

You can buy this plan if you live in any Michigan county.

Plan type

PPO. For dental care, you can go to any licensed dentist and this plan will share the cost. But you'll pay less if you see a Tier 1 PPO in-network dentist.

Monthly premiums

To give you an accurate price, we'll need some information. Find a plan to get a quote.

Deductible

Class I services have no deductible. There is a deductible for Class II and III services only. Class IV services are not covered.

  In Network Out of Network
One member You pay $25 You pay $50
Two members You pay $50 You pay $100
Three members You pay $75 You pay $150


Your deductible is the amount you pay for dental services each year before your insurance begins to pay.

Coinsurance

  In Network Out of Network
Class I You pay 20% You pay 50%
Class II You pay 50% after deductible You pay 50% after deductible
Class III You pay 50% after deductible You pay 50% after deductible
Class IV You pay 100% You pay 100%


Your coinsurance is your share of the costs of a service. It's usually figured as a percentage of the amount we allow to be charged for services. You start paying coinsurance after you’ve met your plan’s deductible.

Annual out-of-pocket max for pediatric dental care

  In Network Out of Network
One member You pay no more than $375 Not applicable
Two members or more You pay no more than $750 Not applicable


This out-of-pocket maximum is the most you’ll have to pay during a calendar year for covered pediatric dental services. Once you’ve reached this out-of-pocket maximum, your plan pays 100 percent of the allowed amount.

 

Agent compensation

Members can find information about agent commissions.

Overview

About this plan

This pediatric dental plan is for members who are 18 or younger when the plan starts. It provides access to care from more than 3,600 Tier 1 PPO dentists in Michigan, and more than 130,000 nationwide. This plan also gives you the choice to see out-of-network dentists, but you pay more out of pocket.

Availability

You can buy this plan if you live in any Michigan county.

Plan type

PPO. For dental care, you can go to any licensed dentist and this plan will share the cost. But you'll pay less if you see a Tier 1 PPO in-network dentist.

Monthly premiums

To give you an accurate price, we'll need some information. Find a plan to get a quote.

Deductible

Class I services have no deductible. There is a deductible for Class II and III services only. Class IV services are not covered.

  In Network Out of Network
One member You pay $25 You pay $50
Two members You pay $50 You pay $100
Three members You pay $75 You pay $150


Your deductible is the amount you pay for dental services each year before your insurance begins to pay.

Coinsurance

  In Network Out of Network
Class I You pay 20% You pay 50%
Class II You pay 50% after deductible You pay 50% after deductible
Class III You pay 50% after deductible You pay 50% after deductible
Class IV You pay 100% You pay 100%


Your coinsurance is your share of the costs of a service. It's usually figured as a percentage of the amount we allow to be charged for services. You start paying coinsurance after you’ve met your plan’s deductible.

Annual out-of-pocket max for pediatric dental care

  In Network Out of Network
One member You pay no more than $375 Not applicable
Two members or more You pay no more than $750 Not applicable


This out-of-pocket maximum is the most you’ll have to pay during a calendar year for covered pediatric dental services. Once you’ve reached this out-of-pocket maximum, your plan pays 100 percent of the allowed amount.

 

Agent compensation

Members can find information about agent commissions.

Actions

Download or print your benefit information.

Choose your dental coverage for 2023.

Enroll now

Get help choosing a plan

Our health plan advisors can help you choose a plan, calculate your costs and tell you whether you're eligible for a subsidy. You can watch this video to meet your health plan advisors.

1. Chat with an advisor online now.

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