Dental - Virginia
Freestanding Preferred (PPO), Traditional, BlueDental Plus & 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 (ACA-compliant member level rated plans; benefits include dental services for adults and children)
|
SUM2031 | VA/GRPAPP/HCR (1/14) (D-V Only) |
2-50 Freestanding (not certified ACA benchmark plans; benefits include dental services for adults and children)
|
SUM2710 | VA/GHMSI/POE (1/13) |
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) |
Ordering Multiple Copies:
Please contact your CareFirst Sales Representative.

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