Anthem Blue Cross Dental Blue PPO Plans for Individuals and Families..
Anthem Blue Cross Blue Shield offers dental plans in more than 12 states under the Anthem brand. Each state offers dental plans that are similar in design but they do vary from state to state. This page represents the plans from Anthem Blue Cross in the state of California. If you do not live in California simply select the Anthem state you live in from the menu above. In California you now have more choices for your Dental coverage. Anthem Blue Cross and Anthem BC Life & Health now offers two plan designs. Anthem Dental Blue PPO and Anthem Dental SelectHMOSM plans.
The Dental Blue PPO Plans from Anthem Blue Cross offer you an affordable PPO solution to meet your dental needs - all designed to give you the power to choose. The Dental Blue PPO Network of providers allows access to more than 19,000 participating providers in California and more than 49,000 Dental Blue providers nationwide.
Two PPO Plans to choose from...
Dental Blue Basic - The Dental Blue Basic plan provides coverage for many diagnostic services and preventive care such as cleanings, exams and X-ray, as well as fillings, with an annual maximum of $500.
Dental Blue Enhanced - The Dental Blue Enhanced plan includes cleanings, exams, X-rays and fillings - plus certain major services like root canals, periodontal procedures and crowns, with an annual maximum of $1,250. It also includes orthodontic coverage for children after a 12-month waiting period.
A unique feature of Dental Blue is that members have access to the rates Anthem has negotiated with providers for covered services received during any applicable waiting periods and after the annual maximum has been met. These negotiated rates are available only at in-network providers.
Choice of dentist...
Your dental plan lets you choose any dentist whether or not that dentist is part of Anthem's Dental Blue 100 network. The Dental Blue 100 network currently has more than 19,000 providers and provider locations - so it's likely your dentist participates in their program.
You might pay more when you visit an out-of-network dentist...
While your dental plan lets you choose your dentist, you may end up paying more for a service if you visit an out-of-network dentist. Here's why: In-network dentists have agreed to payment rates for various services and cannot charge you more. On the other hand, out-of-network dentists don't have a contract with Anthem and are able to bill you for the difference between the total amount Anthem allows to be paid for a service - called the "maximum allowed amount" - an the amount they usually charge for a service. When they bill you for this difference, it's called "balance billing"