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The Anthem dental plan allows you to visit any dentist you would like—in or out-of-network. Visiting an
in-network dentist, however, assures you that you will not be balance billed for any charges beyond Anthem’s
negotiated fees.
Select “Find a Dental Provider” on the Anthem homepage and select the “Anthem Dental Complete” option in
the Dental Providers column.
DENTAL PLANS
Type of Plan
In-Network
Out-of-Network
Deductible
Single: $50
Family: $150
Single: $50
Family: $150
Annual Benefit Maximum Per Individual
$1,500
$1,500
Preventive Services
(Oral exam, Cleaning, X-rays)
100%
100%*
Basic Services
(Fillings, Oral surgery, Root canals)
80% after Deductible
80% after Deductible*
Major Services
(Crowns, Dentures, Bridges)
50% after Deductible
50% after Deductible*
Orthodontia
(children to age 19)
*Subject to Usual, Customary and Reasonable charges (90th percentile)
Dental Coverage - Anthem Blue Cross Blue Shield
Passive PPO
Covered at 50%; $1,000 Lifetime Benefit Maximum