BlueChoicesSM offers five dental options depending on a group’s
size that can be paired with medical benefits.*
All options available on BlueClassic,
BluePreferred and BlueEssentials products
Option
F
Available to
Group size 2+
Option G/K
Available to
Group size 10+
Option
S Available to
Group size 20+
Option V
Available to
Group size 20+
Network
Traditional
Traditional/ ValueCare
Traditional
ValueCare
Deductible
$50
(2 enrollee maximum)
$50
(3 enrollee maximum)
$50
(3 enrollee maximum)
$50
(3 enrollee maximum)
Basic
80%
/ 20%
80% / 20%
80%
/ 20%
80% / 20%
Preventive
80%
/ 20%
100%
100%
100%
Prosthodontic
50%
/ 50%
50% / 50%
50%
/ 50%
50% / 50%
Orthodontic
Not
Available
Not Available
50%
/ 50%
(limited to $500 per enrollee per calendar year)
50% / 50%
Orthodontic Maximum Benefit
$1,000
Lifetime Maximum
$1,000 Lifetime Maximum
Maximum Benefit (per calendar year)
$500
$1,000
$1,000
$1,000
*Dental options may be purchased as a stand-alone benefit if a group consists
of 100 enrollees or more. Please contact
Regence BlueCross BlueShield of Utah for more information.
Regence
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