• Dental Plans

    Premera DentalBlue plans encourage preventive care and promote good oral health habits that can lead to better overall health outcomes. Plans are available for groups of five or more employees.

    Network strength and accessibility

    The strength of our dental network and access to nationwide contracted dental providers makes it easy for your employees to find the right dentist for their needs, and it translates into greater savings for in-network services.

    • With Premera DentalBlue Preference, Optima and Essential plans, employees have access to nearly two out of three dentists in Washington.
    • Providers in our network accept our allowable charges as payment in full, which can save members money.  Providers not in our network may charge back to the member the difference between our allowable charge and their billed charge.

    A range of product options to build a comprehensive benefits package

    Premera offers a range of dental plans offering choice and flexibility, allowing employers to offer a more attractive and comprehensive employee benefits package. Our dental portfolio:

    • provides dental care with no deductibles for cleaning, routine exams and X-rays, sealants and fluoride treatments
    • gives employers a wide range of coverage options to strike the right balance between coverage and cost
    • offers packaged or stand-alone product coverage options, dual choice options for some employers as well as employer-sponsored and voluntary dental plans
    • includes free online tools for members offering a wealth of dental health information such as Dental Health Center, Dental Cost Estimator and easy access to our dental provider directory.

    Plan details for 2014 plans

    To review details of 2014 plans see the DentalBlue Plans brochure

    Plan details for 2013 plans

    To review details of 2013 plans see the DentalBlue Plans brochure 

    • Dental Preference™ - offers plan members choice and control over their out-of-pocket spending. Members who get care for covered services from our network providers enjoy the plan’s highest benefit level and cost savings. Note: support for small group plans is available through Connexion Insurance Solutions.*
    • Dental Optima™ - offers an array of deductible and coinsurance cost-share options. Coinsurance for covered services remains constant regardless of whether the service is provided in-network or out-of-network.
    • Dental Copay Select™ - offers predictable costs on more than 200 dental procedures. Our strong and growing network offers convenient access to quality dental care. This plan is an affordable option for employers looking to provide full benefits, but with a reduced benefits budget.
    • Dental Essentials™ - can be funded 100 percent by employees, or employers can voluntarily choose to fund a portion of employee premiums (up to 50 percent). Regardless, Dental Essentials members receive the highest benefits when they choose services from in-network providers. Or they have the choice to use an out-of-network provider, at a reduced benefit level.
    • Dental Preventive™ - members can use any licensed or certified dental-care provider. Coinsurance for covered services remains constant regardless of whether the service is provided in-network or out-of-network.

    Note: Support for small group plans (5-50 employees) is available through Connexion Insurance Solutions 

    * Independent Premera affiliates do not provide Blue Cross Blue Shield products or services and are solely responsible for their services.

    Optional Benefits

    Employers with at least 26 employees can increase the value to their employees of the Dental Optima and Dental Preference Plus plans by offering additional benefits. Available options:

    • Move periodontal and endodontic services between the Major and Basic categories
    • Offer orthodontia benefits
    • Add TMJ dental services

    Refer to the DentalBlue Plans brochure for details.

  • Dental Copay Select

    Adding a Dental Copay Select plan to an employee’s health plan means they’ll have complete, high-quality coverage. Dental Copay Select offers predictable costs on more than 200 dental procedures. Our strong and growing network offers convenient access to quality dental care. This plan is an affordable option for employers looking to provide full benefits, but with a reduced benefits budget.

    View the list of copays for covered services 

    For a more extensive listing of services covered under the categories below, view or download the DentalBlue Plans brochure.

    Plan Highlights (Groups of at least 5) 

    Note: Support for these small group plans transitioned effective July 15, 2011 to Connexion Insured Solutions*.

    Deductibles and benefits per calendar year (choose from options) 

           

    VOLUNTARY 

    Annual deductible:
    individual / family

    $50 / $150

    $50 / $150

    $75 / $225

    $50 / $150

    $75 / $225

    Annual maximum
    allowance
    per person

    $1,000 or
    $1,500

    $1,000 or
    $1,500

    $1,000

    $1,000

    $1,000

    Covered services (percentages below represent what member pays) 

    Diagnostic and
    preventive
    (In / Out)

    Copay / 0%

    Copay / 20%

    Copay / 30%

    Copay / 20%

    Copay / 30%

    Basic (In / Out)

    Copay / 30%

    Copay / 40%

    Copay / 50%

    Copay / 40%

    Copay / 50%

    Major (In / Out)

    Copay / 60%

    Copay / 60%

    Copay / 70%

    Copay / 60%

    Copay / 70%

    * Deductible applies to major services only

    In = In-network
    Out = Out-of-network
     

    Back to Top 

  • Dental Essentials

    Dental Essentials can be funded 100 percent by employees, or employers can voluntarily choose to fund a portion of employee premiums (up to 50 percent). Regardless, Dental Essentials members receive the highest benefits when they choose services from in-network providers. Or they have the choice to use an out-of-network provider, at a reduced benefit level.

    For a more extensive listing of services covered under the categories below, view or download the DentalBlue Plans brochure.

    Plan Highlights (Groups of 5 to 50) 

    Deductibles and benefits per calendar year 

    Annual deductible:
    individual / family

    $50 / $150

    Annual maximum
    allowance
    per person

    $1,000 or
    $1,500

    Covered services (percentages below represent what member pays) 

    Diagnostic and
    preventive
    (In / Out)

    0% / 20%

    Basic (In / Out)

    20% / 40%

    Major (in / Out)

    50% / 60%

    In = In-network
    Out = Out-of-network
     

    Plan Highlights (Groups of at least 51)

    Deductibles and benefits per calendar year (choose from options) 

    Annual deductible:
    individual / family

    $25 / $75
    $50 / $150 or
    $75 / $225

    $25 / $75
    $50 / $150 or
    $75 / $225

    $25 / $75,
    $50 / $150 or
    $75 / $225

    Annual maximum
    allowance
    per person

    $750, $1,000, or $1,500

    $750, $1,000, or $1,500

    $750, $1,000
    or $1,500

    Covered services (percentages below represent what member pays) 

    Diagnostic and
    preventive
    (In / Out)

    0% / 20%

    0% / 0%

    20% / 30%

    Basic (In / Out)

    20% 40%

    20% / 20%

    20% / 40%

    Major (In / Out)

    50% / 60%

    50% / 50%

    50% / 60%

    In = In-network
    Out = Out-of-network
     

    Back to top 

  • Dental Preventive+

    With Dental Preventive+, members can use any licensed or certified dental-care provider. Coinsurance for covered services remains constant regardless of whether the service is provided in-network or out-of-network.

    For a more extensive listing of services covered under the categories below, view or download the DentalBlue Plans brochure .

    Plan Highlights (Groups of 5 to 50)

    Deductibles and benefits per calendar year (choose from options) 

    Annual deductible:
    individual / family

    $0 / $0

    $0 / $0

    Annual maximum
    allowance per person

    $750

    $500

    Covered services (percentages below represent what member pays) 

    Diagnostic and
    preventive
    (In / Out)

    0%

    0%

    Basic (In / Out)

    0%

    20%

    In = In-network
    Out = Out-of-network
     

    Plan Highlights (Groups of at least 51)

    Deductibles and benefits per calendar year (choose from options) 

    Annual deductible:
    individual / family

    $0 / $0

    $0 / $0

    Annual maximum
    allowance
    per person

    $500 or $750

    $500, or $750

    Covered services (percentages below represent what member pays) 

    Diagnostic and
    preventive
    (In / Out)

    0%

    0%

    Basic (In / Out)

    0%

    20%

    In = In-network
    Out = Out-of-network
     

    Optional Benefits

    Employers with at least 26 employees can increase the value to their employees of the Dental Optima and Dental Preference Plus plans by offering additional benefits. Available options:

    • Move periodontal and endodontic services between the Major and Basic categories
    • Offer orthodontia benefits
    • Add TMJ dental services

    Consult the Dental Plans brochure for details.

  • Dental Network

    Except for those on the Dental Copay Select plan, Premera dental plan members have access to nearly two of every three dentists in Washington through our network of contracted providers. That makes it easy for members to find the right dentist for their oral health needs, and maximize savings for in-network services.

    Premera also provides members traveling or living outside of Washington with access to an extensive network of providers. This network has over 131,000 access points nationwide.

    Integrated Health and Dental Plans From Premera

    Our health and dental plans work very well independently, but together they provide outstanding benefits including:

    • For employers - one plan document, one account manager, one eligibility list to maintain, one billing/payment source and one renewal negotiation
    • For members - one ID card, one customer service phone number, one member portal for obtaining information and news
    • Coordinated care - with cross-targeting of at-risk members in both health and dental categories with opportunities and information to improve total health - especially for members who may be pregnant, diabetic or have heart disease
    • Increased productivity - improved oral health leads to better job performance and less time loss due to health issues
    • Plan integration – streamlines your administrative process

    Total Health. And a Few Other Reasons to Choose a Premera Dental Plan

    The connection between healthy teeth and good overall health is well-known. That’s why Premera Dental Plans offer select benefits that include:

    • Robust online tools for members such as the Dental Health Center, dental risk assessment and “Ask a Dentist,” where your oral health-related questions are answered by dental health professionals
    • Wide range of coverage options to achieve balance between coverage and cost
    • Extensive dental provider network – Largest PPO dental network in Washington**
    • Large national dental network, with more than 90,000 access points
    • Educational outreach programs

    To learn more about the advantages of packaged health and dental coverage, talk to your producer or call your Premera sales representative.

    Go2dental is a dental education and communication support company independent from Premera Blue Cross.

    ** Source: NetMinder, March 2009