888-765-5400DENTAL BLUE
With Dental Blue, members do not 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 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.
Plan Benefits:
100% – Preventive Services. Routine oral exams, Adult & child cleaning, Bitewing x–rays, Pulp testing, Annual fluoride cleaning (members through 18–years–old only), Palliative emergency treatment & emergency oral examinations, Other diagnostic & preventive services, Sealants (members 5-15 years old only)
60% – Basic Services. Routine fillings, Space maintainers (members under 16–years–old), Endodontics, Simple extractions,
Stainless Steel Crowns, Oral surgery, Other basic services
Major Services
50% Gingival curettage, Gingivectomy and gingivoplasty, Periodontal maintenance, Inlays and onlays (once per 5 years),
Porcelain Crowns, Dentures, Bridges, Other major services
Deductible, basic and major services $75
Annual maximum, all services $1,000
For more information on health insurance coverage in North Carolina, please visit our website at www.nchealthplans.com or call our toll free number 888-765-5400 and speak with one of our qualified agents. Our agency provides coverage for health insurance in North Carolina through Blue Cross Blue Shield of North Carolina (BCBSNC). You may qualify for a 15% healthy lifestyle discount if you are in excellent health. Call us for details.