Anthem BCBS Dental

Take control of your total health with the right dental and vision coverage.

Anthem Colorado Dental Plans

Our Rating: ★★★☆☆

Anthem offer sa variety of individual and family dental plan options to fit your needs and budget.

These plans include:

  • Anthem Dental Family Value
  • Anthem Dental Family
  • Anthem Dental Family Enhanced
  • Dental Prime for individuals and families

Anthem has one of the largest dental preferred provider organization (PPO) networks in the country. Plus, they work with in-network dentists to get deep discounts for you. By seeing an in-network dentist, you can save an average of 25% to 32% on covered dental services.

Dental Prime Plan Overview and Benefit Details 

Three plan choices – plans A, B and C.

Plan A offers affordable coverage focused only on diagnostic and preventive services.

Plan B offers additional coverage for basic services.

Plan C is more comprehensive including coverage for major services.

• Does not provide the required pediatric dental EHB coverage which is already included in all 2018 Anthem individual medical plans.

• No separate plans for children or adults. Everyone has the same coverage.

• No coordination of benefits • Cleanings, exams and x-rays are covered at 100% in all plans.

• An extra cleaning benefit is provided for members who are pregnant or living with diabetes

• A brush biopsy benefit is available in plans B and C

The percentage shown is the amount you pay for the service.

Dental Prime Plan A Dental Prime Plan B Dental Prime Plan C
In-network / Out-of-network In-network / Out-of-network
In-network / Out-of-network
Dental network Dental Prime Dental Prime Dental Prime
Deductible (per person, all services) None $50 $50
Annual maximum (per person) $500 $1,000 $1,250
Annual out-of-pocket limit None None None
Diagnostic and preventive No waiting period No waiting period No waiting period
Cleaning, exams, x-rays 0% / 0% coinsurance 0% / 0% coinsurance 0% / 0% coinsurance
Extra cleaning 1 extra cleaning per year for those who are pregnant or diabetic 1 extra cleaning per year for those who are pregnant or diabetic
1 extra cleaning per year for those who are pregnant or diabetic
Basic services Not covered 6-month waiting period
6-month waiting period
Fillings Not covered 20% / 20% coinsurance
20% / 20% coinsurance
Brush biopsy Not covered 20% / 20% coinsurance
20% / 20% coinsurance
Complex and major services Not covered 12-month waiting period
12-month waiting period
Endodontic/periodontic/oral surgery (root canal, scaling, tooth removal) Not covered 50% / 50% coinsurance
50% / 50% coinsurance
Prosthetics (crowns, dentures, bridges) Not covered Not covered
50% / 50% coinsurance
Medically necessary orthodontia Not covered Not covered Not covered
Cosmetic orthondontia Not covered Not covered Not covered
International emergency dental program Included Included Included
Blue View Vision Available Available Available

Plan Overview and Benefit Details

• Provides coverage for adults (age 19 +) and children (age 18 and younger)

• Includes coverage for Complex & Major Services for adults.

• No coordination of benefits

• Offered on and off-exchange 

The percentage shown is the amount you pay for the service.

Anthem Dental Family
(Dependents age 18 and younger)
(Adults age 19+)
In-network / Out-of-network
In-network / Out-of-network
Dental network Dental Prime Dental Prime
Deductible (per person, all services) $50 $50
Annual maximum (per person) None $750
Annual out-of-pocket limit $350¹ / None None
Diagnostic and preventive No waiting period No waiting period
Cleaning, exams, x-rays 0%/ 30%coinsurance 0%/ 50%coinsurance
Extra cleaning Not covered Not covered
Basic services No waiting period
6-month waiting period
Fillings 40%/ 50% coinsurance
50%/ 75% coinsurance
Brush biopsy Not covered Covered
Complex and major services No waiting period
12-month waiting period
Endodontic/periodontic/oral surgery (root canal, scaling, tooth removal) 50%/ 50% coinsurance3
70%/ 85% coinsurance
Prosthetics (crowns, dentures, bridges) 50%/ 50% coinsurance3
70%/ 85%coinsurance
Medically necessary orthodontia 50%/ 50% coinsurance Not covered
Cosmetic orthondontia Not covered Not covered
International emergency dental program Included Included
Blue View Vision Available Available

Anthem Dental Family Value Plan

Overview and Benefit Details

• Lower cost family plan

• Provides coverage for adults (age 19 +) and children (age 18 and younger)

• The Pediatric Dental Essential Health Benefit (EHB)is the same as the Anthem Dental Family plan

• No coordination of benefits

• Offered on and off-exchange

The percentage shown is the amount you pay for the service.

 

Anthem Dental Family Value
For Dependents age 18 and younger
For Adults age 19+
In-network / Out-of-network
In-network / Out-of-network
Dental network Dental Prime Dental Prime
Deductible (per person, all services) $50 $50
Annual maximum (per person) None $750
Annual out-of-pocket limit $350¹ / None None
Diagnostic and preventive No waiting period No waiting period
Cleaning, exams, x-rays 0%/ 30% coinsurance 0% / 50% coinsurance
Extra cleaning Not covered Not covered
Basic services No waiting period
6-month waiting period
Fillings 40%/ 50%coinsurance
50%/ 75% coinsurance
Brush biopsy Not covered Covered
Complex and major services No waiting period Not covered
Endodontic/periodontic/oral surgery (root canal, scaling, tooth removal) 50%/ 50% coinsurance3 Not covered
Prosthetics (crowns, dentures, bridges) 50%/ 50% coinsurance3 Not covered
Medically necessary orthodontia 50%/ 50% coinsurance Not covered
Cosmetic orthondontia Not covered Not covered
International emergency dental program Included Included
Blue View Vision Available Available
The percentage shown is the amount you pay for the service.

Anthem Dental Family Enhanced
(Dependents age 18 and younger)
(Adults age 19+)
In-network / Out-of-network
In-network / Out-of-network
Dental network Dental Prime Dental Prime
Deductible (per person, all services) $25 $50
Annual maximum (per person) None $1,000
Annual out-of-pocket limit $350¹ / None None
Diagnostic and preventive No waiting period No waiting period
Cleaning, exams, x-rays 0% / 20% coinsurance
0% / 50% coinsurance
Extra cleaning Not covered Not covered
Basic services No waiting period
6-month waiting period
Fillings 20% / 40% coinsurance
20% / 60% coinsurance
Brush biopsy Not covered Covered
Complex and major services No waiting period2
12-month waiting period
Endodontic/periodontic/oral surgery (root canal, scaling, tooth removal) 20% / 50% coinsurance
50% / 75% coinsurance
Prosthetics (crowns, dentures, bridges) 50% / 50% coinsurance3
50% / 75% coinsurance
Medically necessary orthodontia 50% / 50% coinsurance Not covered
Cosmetic orthondontia 50% / 50% coinsurance4 Not covered
International emergency dental program Included Included
Blue View Vision Available Available

Anthem dental plans come with the International Emergency Dental Program

If you travel outside of the U.S., you still have access to emergency dental services. With one call, we can help you find a credentialed, English-speaking dentist for your urgent dental care needs. We can even help with translation services when you call the dentist’s office. Services you get through this program don’t count toward your yearly limit, if your plan has one.

Anthem BlueCross BlueShield Colorado

 

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