DHMO Dental 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.
Available ridered to grandfathered BlueChoice medical products only
Plan | Features | Dental Summary |
---|---|---|
Plan 10 | Basic Dental Services $10 per office visit | BRC6341 |
Plan 20 | Basic Dental Services $20 per office visit | BRC6340 |
Plan 10 Opt-Out | Basic Dental Services $10 per office visit, option to go out-of-network |
BRC6338 |
Plan 20 Opt-Out | Basic Dental Services $20 per office visit, option to go out-of-network |
BRC6339 |
Available for renewals only
Options | Features | Dental Summary |
---|---|---|
Provider Choice Plan PC-5 |
Basic Dental Services $5 per office visit | CUT7390 |
Provider Choice Plan PC-10 |
Basic Dental Services $10 per office visit | CUT7391 |
Provider Choice Plan PC-20 |
Basic Dental Services $20 per office visit | CUT7392 |
Provider Choice Plan PC-5 POS |
Basic Dental Services $5 per office visit, option to go out-of-network |
CUT7387 |
Provider Choice Plan PC-10 POS |
Basic Dental Services $10 per office visit, option to go out-of-network |
CUT7388 |
Provider Choice Plan PC-20 POS |
Basic Dental Services $20 per office visit, option to go out-of-network |
CUT7389 |