Dental Blue
Dental Blue Select
Take care of your dental health by making the most of your Dental Blue Select℠ plan.
Healthy smile, heathy life
Research shows a strong link between gum disease and many health conditions, including:1, 2
- Diabetes
- Osteoporosis
- Respiratory disease
- Heart disease and stroke
- Low birth weights and premature births
Dental Blue Select can help you fight gum disease. Your dental plan can give you regular and reliable access to dentists who can help.
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Not sure if you have Dental Blue Select?
Check your member ID card for the name of your dental plan. Some members have Dental Blue, while others have Dental Blue Select. You'll find your plan name listed on the top right and lower left corners of the card.
What's covered with Dental Blue Select?
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Network of dentists
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You can get services from any licensed dentist, but you may save money and reduce your out-of-pocket costs when you use an in-network or participating provider. Out-of-network or non-participating dentists may bill you for any charges over the allowed amount. That’s the maximum amount Blue Cross NC determines is reasonable for covered dental services.
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Find a Participating Dental Provider
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card-1-820d62d9fb-ac0d418f70-Network of dentists
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Benefit period maximum - $1,000 or $1,500
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Dental Blue Select provides a $1,000 or $1,500 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 or $1,500 per eligible member.
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Lifetime deductible - $100
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The deductible applies to all covered services (diagnostic and preventive, basic, and major services), except orthodontia services when selected.
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Standard, Complete, or Enhanced plans
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Your employer selected either the Standard, Complete, or the Enhanced dental plan. Please check your Benefit Booklet or contact your Group Administrator for details on your specific dental plan.
Standard Plan
Diagnostic and preventive services covered at 100%
- Routine oral exams (once per benefit period)
- Adult and child cleaning (once per benefit period)
- Bitewing X-rays
- Pulp testing
- Annual fluoride treatment (members under 19 years old)
- Sealants (members age 5 through 15)
- Palliative emergency treatment and emergency oral examinations
- Other diagnostic and preventive services
Basic services covered at 80%
- Routine fillings
- Simple extractions
Major services covered at 50%
- Endodontics (including root canal)
- Periodontics including
- Periodontal exam and maintenance
- Gingival curettage
- Gingivectomy and gingivoplasty
- Root planning and periodontal scaling (once per quadrant 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
Complete Plan
Diagnostic and preventive services covered at 100%
- Routine oral exams (twice per benefit period)
- Adult and child cleaning (twice per benefit period)
- Bitewing X-rays
- Pulp testing
- Annual fluoride treatment (members under 19 years old only)
- Sealants (members age 5 through 15)
- Palliative emergency treatment and emergency oral examinations
- Other diagnostic and preventive services
Basic services covered at 80%
- Routine fillings
- Simple extractions
Major services covered at 50%
- Surgical teeth removal and oral surgery
- Space maintainers (members under 16 years old)
- Major restorative services
- Inlays and onlays (once per five years)
- Crowns
- Prosthodontics (bridges, dentures)
- Recementation and repair of crowns, inlays, bridges
- Other major services
Orthodontia services (if selected) covered at 50%
- Diagnosis, examination, study models, and radiographs
- Appliance, including design, making placement, and adjustment of device
- Phase I — Minor orthodontic treatment
- Phase II — Comprehensive orthodontic treatment
Limitations may apply.
Enhanced Plan
Diagnostic and preventive services covered at 100%
- Routine oral exams (twice per benefit period)
- Adult and child cleaning (twice per benefit period)
- Bitewing X-rays
- Pulp testing
- Annual fluoride treatment (members under 19 years old only)
- Sealants (members age 5 through 15)
- Palliative emergency treatment and emergency oral examinations
- Other diagnostic and preventive services
Basic services covered at 80%
- Routine fillings
- Simple extractions
- Endodontics (including root canal)
- Periodontal exam and maintenance
- Gingival curettage
- Gingivectomy and gingivoplasty
- Root planning and periodontal scaling (once per quadrant every 24 months)
- Full mouth or panoramic X-rays (once every 36 months)
- Periapical X-ray
- Other basic services
Major services covered at 50%
- Surgical teeth removal and oral surgery
- Space maintainers (members under 16 years old)
- Major restorative services
- Inlays and onlays (once per five years)
- Crowns
- Prosthodontics (bridges, dentures)
- Recementation and repair of crowns, inlays, and bridges
- Dental Implants (available only on Enhanced Plan)
- Other major services
Orthodontia services (if selected) covered at 50%
- Diagnosis, examination, study models, and radiographs
- Appliance, including design, making placement, and adjustment of device
- Phase I — Minor orthodontic treatment
- Phase II — Comprehensive orthodontic treatment
Limitations may apply.
Frequently asked questions
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- /content/dam/aem-global/content-fragments/faq/faq/dental/need-to-file-a-dental-claim
- /content/dam/aem-global/content-fragments/faq/faq/dental/routine-dental-check-ups-and-cleanings
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- /content/dam/aem-global/content-fragments/faq/faq/dental/dental-coverage-contact-us
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