BlueDental Plus and BlueDental Basic Benefit Summaries - Maryland

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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Plan*In-NetworkOut-of-NetworkAnnual MaxDental 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.

HIGHER OUT-OF-NETWORK REIMBURSEMENT AVAILABLE. Talk to your CareFirst account representative about our 90 fee schedule option.

PlanIn-NetworkOut-of-NetworkAnnual MaxDental Summary
1 100/80/0 80/60/0 $1,000 SUM2578 (No Ortho)

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