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Dental Brochure
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Dental Blue Rates
Dental Blue®
Dental plan for individuals
With Dental Blue, members don´t pay a deductible for check-ups or diagnostic and preventive services.
Check-ups and cleanings are covered twice per benefit period. Plus, members can visit any licensed
dentist they choose. There are no "in-network" restrictions.
Members pay a $75 annual deductible and 50 percent coinsurance and are covered for both basic
services like routine fillings and extractions, and major services including crowns, bridges and
dentures. Applicants can choose Dental Blue coverage for themselves, their children or the entire family. There
are three convenient payment options: monthly bank draft, semiannual payment or annual payment.
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