Anthem Dental Blue
Take Control of Your Dental Care
Effective January 1, 2010 the dental portfolio will be reduced from nine to three plans. Two Dental Blue PPO’s and one Dental HMO.
The Dental Blue PPO Plans:
Our Dental Blue PPO offering will consist of two plans - Dental Blue Basic and Dental Blue Enhanced. Both plans will use the Dental Blue 100 network.
Dental Blue Basicoffers diagnostic and preventive coverage for such services as cleanings, exams and X-rays, as well as basic coverage for fillings. Benefits for stainless steel crowns and pulpotomies on primary teeth are also included. This plan has an annual maximum of $500. The Dental Blue Basic plan is similar to the one we’ve offered in the past, with a few minor changes:
- There will be a six-month waiting period for restorative services.
- Out-of-network services will be paid based on the Dental Blue 100 fee schedule.
Dental Blue Enhanced is a brand new plan that includes diagnostic and preventive coverage, benefits for basic services and major services like crowns, periodontal procedures and root canals. There is a six-month waiting period for basic services (such as fillings) and a 12-month waiting period for major services. The plan has an annual maximum of $1,250, plus it includes orthodontic coverage for children after a 12 month waiting period.
Dental Blue members may get extra savings.
With both of our Dental Blue PPO plans, members benefit from our negotiated pricing when they visit an in-network provider for:
- Services that aren’t covered like porcelain veneers, dental implants and treatment for TMJ.
- Services after they reach their annual maximum.
- Services received during waiting periods.
One network, more dentists. It’s that simple
To simplify our Individual Dental Blue PPO portfolio and make the plans easier for members to understand, only the Dental Blue 100 network will be used in the new portfolio.
Over the last year, our Dental Blue 100 network has grown 45 percent to more than 18,300 participating providers. And members have access to more than 49,000 Dental Blue providers nationwide.
While Dental Blue plan members can see any dentist they want, they do have the potential for lower costs when they choose a dentist in the Dental Blue 100 network. This is because in-network dentists have agreed to accept our fee schedule for services rendered.
Dental Select HMO Plan
As part of our portfolio redesign, we will only be selling the Dental Select HMO. The Dental Saver Select HMO and the Dental Premier Select HMO will be be offered. There are no changes to the Dental Select HMO plan. It still offers great coverage with lower out-of-pocket costs and features:
- No annual maximums.
- No annual deductibles.
- No charge for cleanings, exams and X-rays.
- Most fillings are covered with no copayment after a six-month waiting period.
- Orthodontics and other services available for fixed copayments.
Dental Select HMO members must receive services from in-network providers, and we have nearly 5,000 to choose from in California.
|
|
Dental Blue Basic |
Dental Blue Enhanced |
Dental Select HMO |
|
Annual Deductible * Waived for Preventive |
$25 |
$50 |
None |
|
Annual Maximum |
$500 |
$1,250 |
No Max |
|
Preventive Services |
100% |
100% |
$5 copay |
|
Basic Services |
|
||
|
Fillings |
80% |
80% |
No copay |
|
Other Minor Restoritive |
Not covered |
80% |
Copayments depend on treatment |
|
Major Services |
|
||
|
Oral Surgery |
Not covered |
50% |
Copayments depend on treatment |
|
Endodontics |
50% pulpotomies on primary teeth only |
50% |
Root Canals: $289 to $459 |
|
Periodontics |
Not covered |
50% |
$72 / tooth |
|
Prosthodontics |
Not covered |
50% |
Crown: $432 |
|
Orthodontics |
Not covered |
Children 50%, $100 deductible. $500 / Yr. |
Child - $2,870 Adult - $3,045 |
|
Waiting Periods |
No wait for cleanings, x-ray & exams. 6 month all other. |
No wait for cleanings, x-ray & exams. 6-month for basic svc. 12-month for major svc. |
No Waiting periods |
Existing dental members can remain on their current plan.
Individuals on cancelled dental plans will have the opportunity to maintain their current dental plan if they wish to do so. Anthem Blue Cross will not require them to migrate to one of the new plans at this time, though they can switch to one of the new plans if they so desire.
Check ups when you need them the most.
You don’t have to wait to receive preventive services with Anthem Dental Blue. Check ups and cleanings are covered twice per benefit period. So you can protect you teeth by visiting the dentist every six month.
You’ll pay no deductible for preventive and diagnostic services with Anthem Dental Blue for Individuals and Families. And check ups and cleanings are covered twice per benefit period. Plus you have the freedom to choose any licensed dentist in California.
Also: Blue Cross HMO Dental Plans
- Convenient Premiums
- See the dentist you want
- No waiting periods for preventive care and treatments
- Two Annual check ups
- Individual and Family plans
Print: Anthem Dental Blue Application
See the Dentist you want.
You don’t have to stay “in network” with Dental Blue for Individuals and Families. Visit any licensed dentist you choose.
|
|
Dental Blue 100 Basic |
Dental Blue 100 Plus No longer available |
Dental Blue 200 Plus No longer available |
Dental Blue 200 Essential No longer available |
|
Monthly Premium: |
$25 |
$50 |
$53 |
$41 |
|
Annual Maximum |
$500 |
$1000 |
$1000 |
$1000 |
|
Preventive / Diagnostic |
100% |
100% |
100% |
100% |
|
Basic Services |
80% filings, 50% crowns |
80% |
80% |
Fee Schedule |
|
Major Services |
Not covered |
50% |
50% |
Fee Schedule |
|
Orthodontics |
Not covered |
Not covered |
Not covered |
Not covered |
|
Waiting Periods |
None |
6 months Major Svc. |
3 Mos Basic 12 Mos Major |
3 Mos Basic 12 Mos Major |
Print: Anthem Dental Blue Application
Something to smile about. With four Anthem Dental Blue Individual and Family plans for you to choose from, we’re confident you’ll find the one that’s right for you. Plan benefits, premiums and coinsurance amounts vary, however, all offer:
- Three dental networks, with more than 21,000 participating dentist locations in California to choose from.
- Dental specialists within all networks.
- Deductibles that are waived for covered in-network cleanings, exams and X-rays.
- No co payment for covered in-network preventive and diagnostic services, including cleanings, exams, X-rays and sealants.
- No claim forms or paperwork to deal with when visiting an in-network dentist.
- The choice of seeing dentists outside the Dental Blue network, however, you may save more money when you visit a dentist within the Dental Blue network.
- Savings on popular non-covered services such as porcelain veneers, dental implants, TMJ and orthodontics when visiting an in-network Dental Blue dentist.
- No referrals are needed
The beauty of the Anthem Dental Blue three-tiered network
No matter which Dental Blue plan you choose, you can see a dentist or specialist in any of the Anthem Dental Blue networks and still be considered “In-network.” You also have the freedom to visit a dentist outside of our Anthem Dental Blue network should you decide to do so. However, you may save the most money when you visit a dentist within the Dental Blue network that you selected. You’re protected from balance billing - meaning you’ll never pay more than the Anthem Dental Blue negotiated rate for covered services - when you visit any dentist in the Dental Blue network.
So if you are five or sixty five, take a closer look at Anthem Dental Blue. I’m sure you will like what you see. And by the way, taking care of your mouth is more than a great smile. The success of your overall health is partly dependent on good oral health - and there’s a lot you can do to help improve your chances for good oral health. Start by keeping your teeth and gums healthy. Practice good oral hygiene at home and visit your dentist regularly. Anthem Blue Cross Life and Health insurance Companies Dental Blue coverage is designed to help you accomplish this.
Start today! Applying is easy. Simply print the application and fax or mail the completed application to the address below. Your coverage will start in approximately 7 to 10 days. Don’t wait, your teeth are depending on you. Remember Anthem Dental Blue.
Be sure to call anytime with your questions. I’m here to help.
John Conner
10425 Saddle Creek Drive
Sacramento CA 95829
www.JohnConner.com
800-700-1246 - office
916-240-6422 - cell
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