Protect yourself from mail delivery delays. Review this Consumer Advisory from The Maryland Insurance Administration.

BlueDental Plus and BlueDental Basic Benefit Summaries - District of Columbia

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

Spanish benefit summaries are available upon request. Please contact your CareFirst sales representative for more information.

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

Expand All | Collapse All

Plan*In-Network Out-of-Network Annual Max Dental Summary
1 100/80/50 100/80/50 $1,500 SUM2580 (No Ortho)
SUM2592 (With Ortho)
2 100/80/50 80/60/35 $1,500 SUM2581 (No Ortho)
SUM2593 (With Ortho)
3 100/80/50 100/80/50 $1,500 SUM2582 (No Ortho)
SUM2594 (With Ortho)
4 100/80/50 80/60/35 $1,500 SUM2583 (No Ortho)
SUM2595 (With Ortho)
5 100/80/50 100/80/50 $2,000 SUM2584 (No Ortho)
SUM2596 (With Ortho)
6 100/80/50 80/60/35 $2,000 SUM2585 (No Ortho)
SUM2597 (With Ortho)
7 100/80/50 100/80/50 $2,000 SUM2586 (No Ortho)
SUM2598 (With Ortho)
8 100/80/50 80/60/35 $2,000 SUM2587 (No Ortho)
SUM2599 (With Ortho)

*Plans 1, 2, 5 and 6: Major Surgical Services have the same coinsurance as Basic Services. Plans 3, 4, 7, and 8: Major Surgical Services have the same coinsurance as Major Restorative Services.

Plan*In-Network Out-of-Network Annual Max Dental Summary
1 100/80/50 100/80/50 $1,500 SUM2604 (No Ortho)
SUM2610 (With Ortho)
2 100/80/50 80/60/35 $1,500 SUM2605 (No Ortho)
SUM2611 (With Ortho)
3 100/80/50 100/80/50 $1,500 SUM2606 (No Ortho)
SUM2612 (With Ortho)
4 100/80/50 80/60/35 $1,500 SUM2607 (No Ortho)
SUM2613 (With Ortho)
5 100/80/50 100/80/50 $2,000 N/A
6 100/80/50 80/60/35 $2,000 N/A
7 100/80/50 100/80/50 $2,000 N/A
8 100/80/50 80/60/35 $2,000 N/A

*Plans 1, 2, 5 and 6: Major Surgical Services have the same coinsurance as Basic Services. Plans 3, 4, 7, and 8: Major Surgical Services have the same coinsurance as Major Restorative Services.

PlanIn-Network Out-of-Network Annual Max Dental Summary
1 100/80/0 80/60/0 $1,000 SUM2578 (No Ortho)

Expand All | Collapse All