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Traditional and Preferred Dental Benefit Summaries - Virginia

Benefit summaries are now available for the health plans listed below. Please check the site frequently for summary updates.

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 1-50 Plan Options
Plan	In-Network Features	Dental Summary
Plan 1	80/50/50/50	BRC6320
Plan 2	100/80/50/50	BRC6321
Plan 3	100/80/80/50	BRC6322
Plan 4	100/80/80/50 \| $1500 ABM	BRC6323

BlueDental Preferred 1-50 - ACA Compliant

Summary of BlueDental Preferred 1-50 Plan Options
Plan	In-Network Features	Dental Summary
Plan 1	100/80/80/50	CST1976

Preferred (PPO) Dental 51+

Summary of Preferred PPO Dental 51+ Plan Options
Plan	In-Network Features	Dental Summary
Plan 1	80/50/50/50	BRC6328
Plan 2	100/80/80/50	BRC6329
Plan 3	100/80/50/50 100/80/50/50	BRC6330 SUM2350
Plan 4	100/90/90/60	BRC6331
Plan 5	100/90/60/60	BRC6332

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	SUM1697
Plan 2	100/80/50/50	SUM1698
Plan 3	100/80/80/50	SUM1699
Plan 4	100/80/80/50 \| $1500 ABM	SUM1700

Traditional Dental 1-50

Summary of Traditional Dental 1-50 Plan Options
Plan	Features	Dental Summary
Plan 1	80/50/50/50	BRC6302
Plan 2	100/80/50/50	BRC6303
Plan 3	100/80/80/50	BRC6304
Plan 4	100/80/80/50 \| $1500 ABM	BRC6305

BlueDental Traditional 1-50 - ACA Compliant

Summary of BlueDental Traditional 1-50 Plan Options
Plan	Features	Dental Summary
Plan 1	100/80/80/50	CST1975

Traditional Dental 51+

Summary of Traditional Dental 51+ Plan Options
Plan	Features	Dental Summary
Plan 1	80/50/50/50	BRC6310
Plan 2	100/80/80/50 100/80/80/50	BRC6311 SUM2351
Plan 3	100/80/50/50	BRC6312
Plan 4	100/90/90/60	BRC6313
Plan 5	100/90/60/60	BRC6314

Voluntary Traditional Dental 1-50 & 51+

Summary of Voluntary Traditional Dental Plan Options
Plan	Features	Dental Summary
Plan 1	80/50/50/50	SUM1705
Plan 2	100/80/50/50	SUM1706
Plan 3	100/80/80/50	SUM1707
Plan 4	100/80/80/50 \| $1500 ABM	SUM1708

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