BlueDental EPO Benefit Summaries – Virginia

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.

BlueDental EPO – Employer-Sponsored and Voluntary

Plan Deductible Annual Max Features Dental Summary

1 

 $25/$75 $2,000 Copays per service
(in-network benefits only)		 SUM4701 (No Ortho)
SUM4700 (With Ortho)

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