Due to a planned data migration beginning Friday, July 11 at 11:00 p.m., and continuing through Monday, July 14 at 8:00 a.m., you may experience a delay in your information appearing on CareFirst portals. We expect that changes to member data will be reflected on the portals by Tuesday, July 15. Your patience is appreciated.
Change Healthcare notifying individuals of data breach. Learn more here.
Dental - Virginia
Freestanding Preferred (PPO), Traditional, BlueDental Plus, BlueDental EPO & BlueDental Basic
Group Size | Group Subscriber Enrollment Form | Group Contract Application |
---|---|---|
2-50 (Grandfathered/Non-ACA; product other than VA E&S) |
CUT5150 | N/A |
2-50 Freestanding (not certified ACA benchmark plans; benefits include dental services for adults and children)
|
SUM2710
(also used for 1-50 VA groups that need to enroll in dental and/or vision benefits) |
VA/GHMSI/POE (1/13) (for plans effective prior to 5/1/19) VA/GHMSI/DN-VS ONLY/GCA (11/18) (for plans effective 5/1/19 and after) |
51+ Freestanding (not certified ACA benchmark plans; benefits include dental services for adults and children)
|
SUM2710 | VA/GHMSI/GCA/LG (1/14) (BP, HB(PPO), & DN-VS Only) (for plans effective prior to 5/1/19) VA/GHMSI/DN-VS ONLY/GCA (11/18) (for plans effective 5/1/19 and after) |