BlueDental EPO Benefit Summaries - District of Columbia

Benefit summaries are now available for the health plans listed below. Please check the site frequently for summary updates.

Please note: Not all services and procedures are covered by your benefits contract. Benefit summaries are for comparison purposes only and does not create rights not given through the benefit plan.

NOTE: Employers can consult with a CareFirst account executive to explore other plan options that fit their organization's benefit needs.

BlueDental EPO – Employer-Sponsored and Voluntary

PlanDeductibleAnnual MaxFeaturesDental Summary

1 

 $25/$75 $2,000 Copays per service
(in-network benefits only)		 SUM4755 (No Ortho)
SUM4754 (With Ortho)

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