Blue Access for Employers

2015 Fully-Insured Small Group Summary of Dental Benefits

To help you make an informed decision about your dental coverage, a Small Group Summary of Dental Benefits document is available for each of our fully-insured plans.  The summary describes key features such as:

  • Program basics
  • Covered services
  • Orthodontic services


All information represents an overview of coverage.  It’s not a complete list of what is covered or excluded.  Information is subject to change.  The full terms of coverage are located in the insurance policy.

Contact your Blue Cross and Blue Shield representative with questions at any time.


Blue Care Dental Small Group Benefit Summary


Off the Exchange

Blue Care Dental 1A - (BPM $1,500 / $1,500) pdf
 

Off the Exchange

Blue Care Dental 1B - (BPM $1,000 / $1,000) pdf
 

Off the Exchange

Blue Care Dental 1C - (BPM $1,500 / $1,500) pdf
 

Off the Exchange

Blue Care Dental 1D - (BPM $1,000 / $1,000) pdf
 

Off the Exchange

Blue Care Dental 1E - (BPM $2,000 / $2,000) pdf
 

Off the Exchange

Blue Care Dental 1F - (BPM $1,250 / $1,000) pdf
 

Off the Exchange

Blue Care Dental 1G - (BPM $750 / $750) pdf
 
 
 
 


*Benefit Period Maximum: In Network / Out of Network

**Annual Maximum doesn’t apply for members under age 19

 

Form Finder

Quickly search for or browse forms.

Please enter a search term.


Life and Disability Products

To complete a benefits package, a full range of life and disability products is available from Dearborn National  (a wholly owned subsidiary of Health Care Service Corporation, which also includes Blue Cross and Blue Shield of Illinois). You can access the Dearborn National Web site or contact your Blue Cross representative for more information. Learn more.