Dental Plans: EncoreSM, ExpressionsSM RadianceSM Now available to all group sizes
Sell as stand-alone plans, or pair with our new medical plans ActivateSM, InnovaSM, EngageSM or HSA 2.0SM. Now available to all group sizes
Note: None of the information below applies to these products.
NOTE: For groups of 2-99 employees, this product will be limited to renewals as of the 3/1/09 effective date. New and renewing groups of 100+ employees are not affected. View more information.
Stand-Alone Dental Plans (Groups 10-99)
For groups with 10-99 eligible employees. (Additional stand-alone dental options are available for groups of 100 or more enrollees. Please contact your sales representative for more information).
Regence BlueCross BlueShield of Utah Stand-Alone Dental Plans
Groups Size 10-99
Option F
Available to
Groups with 10+
Eligible Employees
Option G/K
Available to
Groups with 10+
Eligible Employees
Option S Available to
Groups with 20+
Eligible Employees
Option V
Available to
Groups with 20+
Eligible Employees
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)
Regence
BlueCross BlueShield of Utah. All rights reserved. Regence BlueCross BlueShield
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