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)
  • - BlueDental Preferred
    - BlueDental Traditional

SUM2031 VA/GRPAPP/HCR (1/14) (D-V Only)
2-50 & 51+ Freestanding
(not certified ACA benchmark plans; benefits include dental services for adults and children)
  • - BlueDental Plus
    - BlueDental Basic
    - Preferred Dental
    - Traditional Dental

SUM2710 VA/GHMSI/GCA/LG (1/14) (BP, HB(PPO), & DN-VS Only)

Go to Virginia Group Applications and Forms

Ordering Multiple Copies:

Please contact your CareFirst Sales Representative.

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