Dental Insurance for Individuals and Families

If you did not enroll in this optional program at the time you enrolled in a health program or if you do not have BCBSKS health coverage at this time, you may apply for dental coverage as a separate benefit during specific open enrollment dates.

  • During 2014:
    • Individuals under age 65 may enroll during January, February, July and August.
    • Those over age 65 may enroll during March, April, September and October.

Rates

  • Individual under 65: $27.11
  • Individual + Children: $61.18
  • Individual + Spouse: $66.42
  • Individual + Spouse + Children: $96.12
  • Individual over 65: $27.94

Benefits

These benefits are covered at 100 percent of the allowable charge:

  • Oral examinations - two per year
  • Prophylaxis, including cleaning, scaling and polishing - two per year
  • Dental x-rays required to treat or diagnose diseases or abnormalities of the teeth, surrounding tissue and cavity detection (limited to two bitewing x-rays per year and one full mouth x-ray during a five-year period)

These benefits are covered at 80 percent of the allowable charge, following a $50 annual deductible, to an annual maximum benefit payment of $1,000 each calendar year:

  • Simple extractions
  • Fillings (except gold)
  • Root canal treatment
  • Periodontic treatment of the gums, consisting of examination, management and surgery
  • Extraction of impacted teeth
  • Repair of dentures
  • General anesthesia when the dental treatment is a covered service

Dental plan services NOT covered:

  • Any dental service or procedure relating to the teeth, gums or structures supporting the teeth or providing for proper occlusion of the teeth not listed in this dental care program.
  • Patient education services; hospital calls and consultations.
  • Laboratory and pathological examinations; occlusal adjustments.
  • Dental implant services.
  • Services for diseases or injuries caused by or arising out of acts of war or aggression.
  • Services for cosmetic purposes if over age 21, except for an accidental injury.
  • Services related to alveolar ridge augmentations.
  • Temporomandibular joint dysfunction syndrome services.
  • Orthodontic services.
  • Crowns, onlays and oral surgery.
  • Dentures (full or partial) and bridges (fixed or removable).

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

You may complete the enrollment form, and either fax it to 785-290-0770 or mail it to:

Blue Cross and Blue Shield of Kansas
PO Box 239
Topeka KS 66601-9834

We're here for you

  • Phone: Learn more about the individual dental plans by calling 291-4306 in Topeka or toll-free at 1-800-641-1019.
  • Email: If you have any questions or would like information on this program, contact us at IndFamilyRep@bcbsks.com.