• Home
• Dental Plans
• Dental Glossary
• Dental Guide
• Health Plans
• Contact Us

No salesmen will call!

•   CLICK HERE FOR ONLINE DENTAL INSURANCE QUOTES    

Below form is for California plan only

Anthem Blue Cross Dental Insurance
Phone (310) 678-6315

SIDE-BY-SIDE COMPARISON OF THE PLANS

	DENTAL BLUE BASIC PPO		DENTAL BLUE ENHANCED PPO		DENTAL SelectHMO
	In-network	Out-of-network	In-network	Out-of-network	In-network only
Annual Deductible	$25		$50/$150		None
Waived for diagnostic & preventive services	Yes	No	Yes	No	N/A
Annual Maximum	$500		$1,250		No
Diagnostic & Preventive Services such as Cleanings, exams & X-rays	100%	80%	100%	80%	No copayment for these services, a $5 office visit copayment will apply
BASIC SERVICES
Fillings	80%	60%	80%	60%	No copayment for most fillings
Other Minor Restorative	Not covered				Copayments ranging from $31 to $187 depending on procedure
MAJOR SERVICES
Oral Surgery	Not covered		50%		Copayments for most commonly performed procedures range from $36 to $223
Endodontics	50% - limited to pulpotomies on primary teeth only		50%		Copayments: Anterior root canal² - $289 Molar root canal² - $459
Periodontics	Not covered		50%		Gingivectomy² -per tooth- $72 copayment
Prosthodontics	50% - limited to stainless steel crowns on primary teeth only		50%		Copayment: Crown² - $432 Partial denture² - $430
Orthodontics	Not covered		Children only 50%, $100 Deductible, $500 per year/ $1,000 lifetime maximum		Child-$2,870 copay Adult-$3,045 copay Retention-$210 copay
In-Network Reimbursement	Dental Blue 100 fee schedule		Dental Blue 100 fee schedule		Dental SelectHMO fee schedule
Out-of-Network ¹ Reimbursement	Dental Blue 100 fee schedule		Dental Blue 100 fee schedule		None
Waiting Periods	No waiting period for cleanings, exams & X-rays; 6 month waiting period for all other covered services		No waiting period for cleanings, exams & X-rays; 6 month waiting period for basic services; 12 month months for major services		6 month waiting period for fillings for which there is no member copayment
Evidence of Coverage	DentalBlue Basic Evidence of Coverage		DentalBlue Enhanced Evidence of Coverage		SelectHMO Evidence of Coverage
Brochures	Dental Blue PPO Brochure				SelectHMO Brochure
Applications	Dental Blue PPO Application				SelectHMO 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. ² Chart reflects copayments when services are rendered by a participating dental office. Amounts may differ if services are obtained through a participating specialty office.

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

PRINT & MAIL Application - Anthem Blue Cross Dental SelectHMO Application

Anthem Blue Cross Dentist Database

Or you can fill in this form to have your Anthem Blue Cross Dental 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 PPO Dental Insurance Coverage Requested
Our Ages (under age 65)	My Age or DOB       Spouse's Age
People Covered	-- Please Select -- Me or Child Only Me and 1 Child Me and Children Me and Spouse Family
Plan wanted	-- Please Select -- Dental Blue Basic Dental Blue Enhanced Dental SelectHMO

Customer Information
Full Full Name
E-mail
Street Address
City
County
State
Zip Code
Home Phone
Work Phone
FAX

Have you any comments or special instructions?

 

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.

Apply Online for Vision Care

Important Disclaimer:  Answers and comments provided above are general information, and are not intended to substitute for informed professional medical, psychiatric, psychological, tax, legal, investment, accounting, governmental, or other professional advice. We do not endorse, and expressly disclaims liability for any product, manufacturer, distributor, service, health plan, or service provider mentioned or any opinion expressed in the website.  Replies, comments, or information gathered on Barricks.com  website may not be accurate but are intended to be helpful.