Dental Plan Comparison

Individual

$15.00/mo*

BCBS
Southland
$1,500
Maximum Annual Benefit
$1,250
Covered at 100%, with no deductible.
Preventive*
Covered at 100%, with no deductible.
Covered at 50%,
$25 deductible.
Basic and Major Services*
Covered at 80%,
with no deductible.
No benefit
Orthodontic
No benefit
* Covered at a % of the Preferred Dental Fee Schedule.
Family

$24.00/mo*

BCBS
Southland
$1,500/member
Maximum Annual Benefit
$1,000/member
Covered at 100%, with no deductible.
Preventive*
Covered at 100%, with no deductible.
Covered at 50%,
$25 deductible.
Basic and Major Services*
Covered at 60%,
$25 deductible.
Covered at 50%,
$25 deductible.**
Orthodontic*
No benefit
* Covered at a % of the Preferred Dental Fee Schedule.
** Separate lifetime maximum of $1,000 per person for dependent children under the age of 19.