Dental

Dental

Good dental care improves your overall health. We offer two dental plans through Blue Shield that are designed to help you maintain a healthy smile through regular dental care and fix any problems as soon as they occur. You may choose coverage through the Core DPPO or Enhanced DPPO plans.

DPPO Plan

The DPPO plans offer you the freedom and flexibility to choose any licensed dentist. You receive the greatest savings when you visit a Blue Shield DPPO Dentist. If you visit a non-network provider, you will pay a percentage of the Reasonable and Customary (R&C) fee based on the dentist’s rates. Find a network provider at the Blue Shield MicroSite.

You can compare your options here:

Plan Features Blue Shield Core DPPO Blue Shield Enhanced DPPO
In-Network Non-Network In-Network Non-Network
Calendar Year Deductible (waived for Preventive Services) $50 Individual $150 Family $50 Individual $150 Family
Calendar Year Benefit Maximum $2,000 $2,000 (Combined with non-network) $5,000 (Combined in-network and non-network; excludes orthodontia)
Orthodontia Benefit Lifetime Maximum N/A N/A $3,000 (combined with out-of-network)
  Plan pays: Plan pays:
Diagnostic & Preventive Services (e.g., x-rays, cleanings, exams) 100%, no deductible 100%, no deductible 100%, no deductible 100%, no deductible
Basic & Restorative Services (e.g., filling, extractions, root canals) 90%, after deductible 80%, after deductible 90%, after deductible 80%, after deductible
Major Services (e.g., dentures, crowns, bridges) 60%, after deductible 50%, after deductible 60%, after deductible 50%, after deductible
Orthodontia (adults and children) Not covered Not covered 50%, after deductible 50%, after deductible

Note: Non-Network coinsurance for Texas employees is 100%, 80% and 50%.

See the benefit summary for detailed information.