Traditional and Preferred Dental Benefit Summaries - Maryland

Change Healthcare Notice

Traditional and Preferred Dental 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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Preferred (PPO) Dental 1-50

Summary of Preferred PPO Dental Plan Options
Plan	In-Network Features	Dental Summary
Plan 1	80/50/50/50	CUT6183
Plan 2	100/80/50/50	CUT6184
Plan 3	100/80/80/50	CUT6185
Plan 4	100/80/80/50 \| $1500 ABM	CUT6186

BlueDental Preferred 1-50 - ACA Compliant

BlueDental Preferred
Plan	In-Network Features	Dental Summary
Plan 1	100/80/80/50	CST1978

Preferred (PPO) Dental 51+

Summary of Preferred PPO Dental 51+ Plan Options
Plan	In-Network Features	Dental Summary
Plan 1	80/50/50/50	CUT6095
Plan 2	100/80/80/50	CUT6096
Plan 3	100/80/50/50	CUT6097
Plan 4	100/90/90/60	CUT6098
Plan 5	100/90/60/60	CUT6466

Voluntary Preferred (PPO) Dental 1-50 & 51+

Summary of Voluntary Preferred PPO Dental Plan Options
Plan	In-Network Features	Dental Summary
Plan 1	80/50/50/50	SUM1638
Plan 2	100/80/50/50	SUM1686
Plan 3	100/80/80/50	SUM1687
Plan 4	100/80/80/50 \| $1500 ABM	SUM1688

Traditional Dental 1-50

Summary of Traditional Dental 1-50 Plan Options
Plan	Features	Dental Summary
Plan 1	80/50/50/50	CUT6082
Plan 2	100/80/50/50	CUT6083
Plan 3	100/80/80/50	CUT6084
Plan 4	100/80/80/50 \| $1500 ABM	CUT6085

BlueDental Traditional 1-50 - ACA Compliant

Summary of BlueDental Traditional 1-50 Plan Options
Plan	Features	Dental Summary
Plan 1	100/80/80/50	CST1977

Traditional Dental 51+

Summary of Traditional Dental 51+ Plan Options
Plan	Features	Dental Summary
Plan 1	80/50/50/50	CUT6090
Plan 2	100/80/80/50 100/80/80/50	CUT6091 SUM2347
Plan 3	100/80/50/50	CUT6092
Plan 4	100/90/90/60	CUT6093
Plan 5	100/90/60/60	CUT6094

Voluntary Traditional Dental 1-50 & 51+

Summary of Voluntary Traditional Dental Plan Options
Plan	Features	Dental Summary
Plan 1	80/50/50/50	SUM1689
Plan 2	100/80/50/50	SUM1690
Plan 3	100/80/80/50	SUM1691
Plan 4	100/80/80/50 \| $1500 ABM	SUM1692

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