BlueCross BlueShield of North Carolina

Dental Blue for IndividualsSM

Dependable Affordable Dental Insurance

Dental Blue for Individuals gives individuals and families more reliable options when it comes to dental health:

  • The ability to choose any licensed dentist in North Carolina
  • Save money by choosing a participating specialist
  • No deductible for checkups and other preventive and diagnostic services
Free Rate Quote

Take Care of Your Dental Health

Medical research shows a connection between dental health and many serious health conditions, including diabetes, coronary heart disease to name just a few.1

Let Dental Blue for Individuals help you take care of your dental health.

Choose Your Dentist

Dental Blue for Individuals makes dental insurance quick and easy:

  1. Schedule an appointment with any licensed dentist.
  2. Show your BCBSNC member ID card at the dentist's office when you arrive.
  3. File your claim (although many dentist offices will file for you).

Dental Checkups and Cleanings are Covered

There's no waiting period for preventive services (A waiting period is the time from your effective date to the day you can receive benefits for a covered dental service.) Checkups and cleanings are covered twice per benefit period.

Reliable and Convenient Dental Coverage

With Dental Blue for Individuals, you get:

  • A convenient monthly premium
  • The freedom to see any licensed dentist in NC or participating dentist or choose one from our expanisve network
  • No deductible and no waiting period for preventive services
  • Coverage for basic services (routine fillings or extractions) and major services (crowns, dentures and bridges)*

* Dental Blue for Individuals is not part of the covered health insurance benefits of any BCBSNC plans. Dental Blue for Individuals must be purchased separately.

1 "The Health Perils of Gum Disease." http://www.webmd.com/heart-disease/features/health-perils-of-gum-disease (Accessed June 2011).

Covered Services What You Pay
Preventive
  • Routine dental checkups
  • Dental cleanings
  • Bitewing X-rays
  • Pulp testing
  • Annual fluoride cleaning (for members up to the age of 18)
  • Palliative emergency treatment
  • Emergency oral examinations
  • Sealants (for members ages 6-15)
  • Space maintainers (for members under the age of 16)
  • You pay nothing for checkups and cleanings twice per benefit period.
  • There's no deductible and no waiting period for preventive services.1
Basic
  • Routine fillings
  • Endodontics
  • Simple extractions
  • Stainless steel crowns
  • Oral surgery
  • You pay 40% after your deductible for basic and major services is met.
  • There's a six-month waiting period for basic services.1
Major
  • Gingival curettage
  • Gingivectomy and gingivoplasty
  • Periodontal maintenance
  • Inlays/onlays
  • Porcelain crowns
  • Dentures
  • Bridges
  • You pay 50% after your deductible for basic and major services is met.
  • There's a 12-month waiting period for major services.1
Deductible for basic and major services $75
Annual maximum limit for all services

$1,0001

Preventive
Covered Services
  • Routine dental checkups
  • Dental cleanings
  • Bitewing X-rays
  • Pulp testing
  • Annual fluoride cleaning (for members up to the age of 18)
  • Palliative emergency treatment
  • Emergency oral examinations
  • Sealants (for members ages 6-15)
  • Space maintainers (for members under the age of 16)
What You Pay
  • You pay nothing for checkups and cleanings twice per benefit period.
  • There's no deductible and no waiting period for preventive services.1
Basic
Covered Services
  • Routine fillings
  • Endodontics
  • Simple extractions
  • Stainless steel crowns
  • Oral surgery
What You Pay
  • You pay 40% after your deductible for basic and major services is met.
  • There's a six-month waiting period for basic services.1
Major
Covered Services
  • Gingival curettage
  • Gingivectomy and gingivoplasty
  • Periodontal maintenance
  • Inlays/onlays
  • Porcelain crowns
  • Dentures
  • Bridges
What You Pay
  • You pay 50% after your deductible for basic and major services is met.
  • There's a 12-month waiting period for major services.1
Deductible for basic and major services $75
Annual maximum limit for all services

$1,0001

Limitations and Exclusions - Dental Blue for Individuals

A partial list of the services, supplies, drugs or charges that aren't covered by the dental plan. For a full list, please refer to the product's benefit booklet

Guaranteed Renewability
This policy is guaranteed renewable and may not be canceled or non-renewed for any reason other than your failure to pay premiums or misstatements in or omissions of information from your application. Any change in your rate will be preceded by a 30-day notice and is guaranteed for 12 months.

  1. Based on allowed amounts as determined by BCBSNC. An allowed amount may be less than the provider's actual charge. You are responsible for charges above the allowed amount, in addition to any deductible and coinsurance applied.

Get a free, no-obligation rate quote by visiting our full website at www.bcbsnc.com. Get started by clicking the free rate quote button. Use your computer or laptop (non-mobile device) to best refine your search results, compare prices and explore plan details.

Find a plan that interests you? Great. Simply continue to apply online. The application process takes about 20 minutes.

It's easy to get a quote and apply online.*

Click the Free Rate Quote button located on this page.
Enter some information about yourself.
Click the Show My Quote button to see your rate quote.

Need more help?

  1. Read our frequently asked questions.
  2. Call us at 1-800-324-4973, Monday - Friday, 8 a.m. - 5 p.m.

Rate quotes are estimates only. Final rates are determined after you complete an application. Actual rates are based on the number of family members covered (Individual, Individual +1 or Family). Deductibles, coinsurance, limitations and exclusions apply to this coverage. Waiting periods may also apply.

Frequently Asked Questions (FAQs)

Who's eligible for Dental Blue for Individuals?
Applicants (under 65 years of age) and their dependents (spouses and/or children under the age of 26) who are residents of North Carolina and haven't had a Dental Blue for Individuals policy in the last 12 months.
What if I need to add dependents at a later date?
Dependents can be added within 30 days of a qualifying life event, such as marriage, divorce, a newborn within 30 days of their first birthday, adoption or court order.
Is it possible to cover my child but not myself?
Yes, you may apply for dental coverage that covers your child only.
Can an effective date only be the first of the month?
Yes, your coverage can begin on either the first or the 15th of the month.
If I cancel my Dental Blue for Individuals coverage, how soon can I reapply?
Reapplying for coverage isn't permitted for 12 months from your policy's termination date.
Are my monthly premiums subject to change?
You may experience a change in your monthly premiums at the time of your annual renewal (January 1 of each year), or when you add or remove dependents.
What are my premium payment options?
Your initial payment can be made by credit card or bank draft. Subsequent payments can be set up for direct bill or bank draft.
How do I know if my dentist participates in your dental provider network?
Visit our dental provider search.
How do I file a dental claim?

Participating providers will file the claim on your behalf. If your dentist office does not file claims, you should pay the dentist in full and submit your claim to BCBSNC for reimbursement. Complete a dental claim form and mail it to us within 180 days from the date of your service.

Download dental claim form

Mail the completed claim form to:

Blue Cross and Blue Shield of North Carolina
Dental Claims Unit
P.O. Box 2100
Winston-Salem, NC 27102-2100

Will I get credit for my prior dental coverage?
Yes, BCBSNC may waive or reduce your dental waiting period by the number of months of prior dental coverage. Proof of prior dental coverage with less than 63 days lapse in coverage is required.

Policy Form #'s: M60, 8/12, M60s, 8/12

U7319, 09/10