About My Plan

Dental Blue Select is affordable dental insurance for you and your family. Your plan makes it easy to have good oral health, not to mention a beautiful smile.

Your dental benefits provide coverage for diagnostic and preventive care, basic services, major services; and if selected, Orthodontia services.

Dental Blue Select allows employers to choose among two dental plans that meet their employee and business needs. Please refer to your member booklet or contact your Group Administrator for details on your specific dental plan.

No networks

You are free to visit any North Carolina licensed dentist you like. With Dental Blue Select you're covered statewide.

$100 Lifetime deductible

Both Dental Blue Select plans feature a $100 lifetime deductible. The deductible applies to all covered services (diagnostic and preventive, basic, and major services), except orthodontia services when selected.

Annual Maximums

Dental Blue Select provides a $1,000 annual benefit maximum per person on diagnostic and preventive, basic and major services. If Orthodontia coverage is selected, the maximum benefit for orthodontia coverage is a lifetime maximum of $1,000.

Standard and Enhanced Plans

Your employer selected either the Standard or the Enhanced dental plan. Both plans cover diagnostic and preventive services at 100%, basic services at 80% and major services at 50%. Orthodontia service is an optional service available on the Enhanced plan. Please refer to your member booklet or contact your Group Administrator for details on your specific dental plan.

STANDARD PLAN TYPE OF COVERAGE
Preventive Services Routine oral exams Adult & child cleaning Bitewing x-rays Pulp testing Annual fluoride cleaning (members under 19 years old) Sealants (members age 5 through 15) Palliative emergency treatment & emergency oral examinations Other diagnostic & preventive services
Basic Services Routine fillings Simple extractions
Major Services Endodontics (including root canal) Periodontics including Periodontal exam and maintenance Gingival curettage Gingivectomy and gingivoplasty Root Planning and periodontal scaling (once per quandrant every 24 months) Full mouth or panoramic X-rays (once every 36 months) Periapical X-ray Surgical teeth removal and oral surgery Space maintainers (members under 16 years old) Other major services

ENHANCED PLAN TYPE OF COVERAGE
Preventive Services Routine oral exams Adult & child cleaning Bitewing x-rays Pulp testing Annual fluoride cleaning (members under 19 years old only) Sealants (members age 5 through 15) Palliative emergency treatment & emergency oral examinations Other diagnostic & preventive services
Basic Services Routine fillings Simple extractions Endodontics (including root canal) Periodontics including Periodontal exam and maintenance Gingival curettage Gingivectomy and gingivoplasty Root Planning and periodontal scaling (once per quandrant every 24 months) Full mouth or panoramic X-rays (once every 36 months) Periapical X-ray Other basic services
Major Services Surgical teeth removal and oral surgery Space maintainers (members under 16 years old) Major Restorative Services Inlays and Onlays (once per 5 years) Crowns Prosthodontics (Bridges, Dentures) Recementation and repair of crowns, inlays, bridges Dental Implants Other major services
Orthodontia Services – if selected Limited to children under 19 years old No deductible Lifetime benefit maximum of $1,000

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