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Below explanation is for California plan only

Anthem Blue Cross logo  Anthem Blue Cross Dental Blue PPO Insurance   
(877)566-5454 Toll Free
SIDE-BY-SIDE COMPARISON OF THE PLANS
DENTAL BLUE BASIC PPO
DENTAL BLUE ENHANCED PPO
In-network
Out-of-network
In-network
Out-of-network
Annual Deductible $25 $50 / $150
Waived for diagnostic & preventive services Yes No Yes No
Annual Maximum $500 $1,250
Diagnostic & Preventive Services such as Cleanings, exams & X-rays 100% 80% 100% 80%
BASIC SERVICES
Fillings 80% 60% 80% 60%
Other Minor Restorative Not covered
MAJOR SERVICES
Oral Surgery Not covered 50%
Endodontics 50% - limited to pulpotomies
on primary teeth only
50%
Periodontics Not covered 50%
Prosthodontics 50% - limited to stainless steel crowns on primary teeth only 50%
Orthodontics Not covered Children only 50%,
$100 Deductible, $500 per year/
$1,000 lifetime maximum
In-Network Reimbursement Dental Blue 100 fee schedule Dental Blue 100 fee schedule
Out-of-Network ¹ Reimbursement Dental Blue 100 fee schedule Dental Blue 100 fee schedule
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
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 Toll-free at 877-Look4Life (877-566-5454).
Anthem Blue Cross Dental Blue PPO Insurance Coverage Requested
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(under age 65)
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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:   (760) 433-0300    |   Fax:   (760) 433-0304
Toll-Free 1-877-Look4Life  (1-877-566-5454)

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