Go to content
 
 

Plan 65 - BlueCare DentalPlus Benefit Details and Exclusions

Features of this program include:


These Preventive Services are covered at 100 percent of the allowable charge (accumulates to annual $1,500 maximum):

These Primary Services benefits are covered at 80 percent of the allowable charge, following a $50 annual deductible (combined deductible applies to Primary and Major services), to an annual maximum benefit payment of $1,500 each calendar year:

 

These Major Services benefits are covered at 50 percent of the allowable charge, following a $50 annual deductible (combined deductible applies to Primary and Major services), to an annual maximum benefit payment of $1,500 each calendar year:

 

Dental plan services NOT covered:

With this optional dental program, you will need to use a Blue Cross and Blue Shield of Kansas contracting dentist to receive maximum benefits.

 

- Back -