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Traditional and Preferred 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.

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Summary of Preferred PPO Dental 1-50 Plan Options
PlanIn-Network FeaturesDental Summary

Plan 1

80/50/50/50

CUT6156

Plan 2

100/80/50/50

CUT6157

Plan 3

100/80/80/50

CUT6158

Plan 4

100/80/80/50 | $1500 ABM

CUT6159
Summary of BlueDental Preferred 1-50 Plan Option
PlanIn-Network FeaturesDental Summary

Plan 1

100/80/80/50

CST1973
Summary of Preferred PPO Dental 51+ Plan Options
PlanIn-Network FeaturesDental Summary

Plan 1

80/50/50/50

CUT6164

Plan 2

100/80/80/50

CUT6165

Plan 3

100/80/50/50
100/80/50/50

CUT6166
SUM2348

Plan 4

100/90/90/60

CUT6167

Plan 5

100/90/60/60

CUT6168
Summary of Voluntary Preferred PPO Dental Plan Options
PlanIn-Network FeaturesDental Summary

Plan 1

80/50/50/50

SUM1693

Plan 2

100/80/50/50

SUM1694

Plan 3

100/80/80/50

SUM1695

Plan 4

100/80/80/50 | $1500 ABM

SUM1696
Summary of Traditional Dental 1-50 Plan Options
PlanFeaturesDental Summary

Plan 1

80/50/50/50

CUT6138

Plan 2

100/80/50/50

CUT6139

Plan 3

100/80/80/50

CUT6140

Plan 4

100/80/80/50 | $1500 ABM

CUT6141
Summary of BlueDental Traditional 1-50 Plan Options
PlanFeaturesDental Summary

Plan 1

100/80/80/50

CST1974
Summary of Traditional Dental 51+ Plan Options
PlanFeaturesDental Summary

Plan 1

80/50/50/50

CUT6146

Plan 2

100/80/80/50
100/80/80/50

CUT6147
SUM2349

Plan 3

100/80/50/50

CUT6148

Plan 4

100/90/90/60

CUT6149

Plan 5

100/90/60/60

CUT6150
Summary of Voluntary Traditional Dental Plan Options
PlanFeaturesDental Summary

Plan 1

80/50/50/50

SUM1701

Plan 2

100/80/50/50

SUM1702

Plan 3

100/80/80/50

SUM1703

Plan 4

100/80/80/50 | $1500 ABM

SUM1704

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