Dental Plans: EncoreSM, ExpressionsSM & RadianceSM (Now for all group sizes.)
Sell as stand-alone plans, or pair with our medical plans ActivateSM, InnovaSM or EngageSM. For groups of all sizes.
Note: None of the information below applies to these new products.
Stand-Alone Dental Plans
The following options are available for groups with 10-99 eligible employees.
Additional stand-alone dental options are available for groups of 100 or more enrollees. Please contact Regence BlueCross BlueShield of Utah 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) |
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 |
|
