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Below explanation is for California plan only

Anthem Blue Cross logo  Anthem Blue Cross Dental Blue PPO Insurance   
Phone (310) 678-6315
Annual Deductible $25 $50 / $150
Annual Maximum $500 $1,250
Annual out-of-pocket limit None None
Diagnostic & preventive services No waiting period No waiting period
Cleanings, exams & X-rays 100% 80% 100% 80%
Basic Services 6-month waiting period 6-month waiting period
Fillings 80% 60% 80% 60%
Complex & major services Not covered 12-month waiting period
Oral Surgery Not covered 50%
Endodontics Not covered 50%
Periodontics Not covered 50%
Prosthodontics Not covered 50%
Orthodontics Not covered Children only 50%,
$100 Deductible, $500 per year/
$1,000 lifetime maximum
Blue View Vision Available Available
Evidence of Coverage DentalBlue Basic Evidence of Coverage DentalBlue Enhanced Evidence of Coverage
Brochures Dental Blue PPO Brochure
Applications Dental Blue PPO Application

¹ While Dental Blue PPO plan members can see any dentist they want, they do have the potential for lower costs when they choose a dentist in the Dental Blue 100 network. This is because in-network dentists have agreed to accept our fee schedule for services rendered. If a member chooses to see a dentist outside the Dental Blue 100 network, they can be balance billed the difference between our in-network negotiated rates and their dentist's rates.

PRINT & MAIL Application - Anthem Blue Cross Dental Blue PPO Application

Anthem Blue Cross Dentist Database

Or you can fill in this form to have your Anthem Blue Cross Dental Blue PPO Insurance brochure with pricing & application mailed to you. Further information on our plans is shown below. Or just call us at (310) 678-6315.
Anthem Blue Cross Dental Blue PPO Insurance Coverage Requested
Our Ages
(under age 65)
  My Age or DOB       Spouse's Age  
People Covered
Plan wanted

Customer Information
Full Full Name
Street Address
Zip Code
Home Phone
Work Phone

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Dental HMO (Dental Health Maintenance Organization) plans also referred to as pre-paid plans, require you to choose one dentist or dental facility to coordinate all of your oral health needs. If you need to see a specialist, your primary care dentist will refer you; specialty care may require preauthorization. A typical DHMO-type plan doesn't have any deductibles or maximums. Instead, when you receive a dental service, you pay a fixed dollar amount for the treatment (a "copayment"). Often, diagnostic and preventive services have no copayment, so you pay nothing for these services. However, generally if you visit a dentist outside of the network, you may be responsible for the entire bill. Typically, the least expensive of dental plans.

Dental PPO (Dental Preferred Provider Organization) plans offer a network feature and usually offer a balance between lower costs and dentist choice. PPO dentists participate in the network thereby agreeing to accept contracted fees as payment in full rather than their usual fee for patients with the PPO. When you visit a PPO dentist, you typically pay a certain percentage of the reduced rate (called coinsurance) and the plan pays the rest. The percentage usually varies by the type of coverage such as diagnostic and preventive, major services. While you typically have the lowest out-of-pocket costs if you visit a PPO dentist, the plan allow you to visit the dentist of your choice, even if they are not in the network. Typically, the most expensive of dental plans.

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Barricks Insurance Services
276 N El Camino Real #6, Oceanside, CA 92058
Phone:   (310) 678-6315

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