How the Dental Plans Compare
Only you can decide which dental plan makes the most sense for you and your eligible dependents. Below is a chart outlining the key features of the three dental plans.
| Carefirst BCBS Dental Plan | Cigna Dental Plan | Concordia Plus Dental Plan | |||
|---|---|---|---|---|---|
| In-Network | Out-of-Network | In-Network | Out-of-Network | ||
| Calendar Year Deductible | $0 | $50 | $0 | $50 individual $100 family |
$0 |
|
Class I
Diagnostic & Preventive Services; cleanings, X-rays, office visits |
100% of allowed benefit | 100% of allowed benefit | 100% of allowed benefit | 100% of reasonable & customary | 100% ($5 copayment for Oral Evaluation) |
| Class II Basic Services: fillings, root cancals, periodontics, oral surgery |
75% of allowed benefit | 75%
of allowed benefit, subject to deductible |
75% of allowed benefit | 75% of reasonable & customary, subject to deductible | 90%-100% (fillings) 70% (basic) |
| Class III Major Services: dentures, crowns & bridges |
50% of allowed benefit |
50% of allowed benefit, subject to deductible |
50% of allowed benefit |
50% of reasonable & customary, subject to deductible |
70% |
| Class I, II, & III Calendar Year Maximum Benefit | $1500 combined | $1500 combined | No maximum | ||
| Class IV Orthodontics | 50% of allowed benefit |
50% of allowed benefit |
50% of allowed benefit |
50% of reasonable & customary |
Member pays $2,900 (2-year case) |
| Lifetime Maximum Benefit (Class IV only) |
$1,500 total for in-network and out-of-network orthodontic services |
$1,500 total for in-network and out-of-network orthodontic services |
No maximum | ||
|
Note: "Allowed benefit" is the negotiated fee that is determined to be reasonable and customary by the insurance company. ConcordiaPLUS is a Dental Maintenance Plan (DMO) offered by United Concordia, and it pays benefits on a fixed schedule. For comparison purposes, the amounts have been converted to percentages for use in this chart only. The actual fee schedule is available at the Benefits Service Center. |
|||||
Dental Plan Contacts
