BlueCare Dental PPOSM (Mid-Market) Plans
To help you make an informed decision about your dental coverage, a Mid-Market (51 to 150 employees) Summary of Dental Benefits document is available for each of our fully insured plans. The summary describes key features such as:
- Program basics
- Covered services
- Orthodontic services
Pediatric dental coverage is included in all small group qualified health plans as an essential health benefit embedded into the medical plan.
2021 Fully Insured Mid-Market Summary of Dental Benefits
2021 Plans available beginning 7/1/2021
Contributory
- BlueCare Dental PPO - DTNHR31
- BlueCare Dental PPO - DTNHR32
- BlueCare Dental PPO - DTNHR33
- BlueCare Dental PPO - DTNHR34
- BlueCare Dental PPO - DTNLR35
- BlueCare Dental PPO - DTNLR36
- BlueCare Dental PPO - DTNLR37
- BlueCare Dental PPO - DTNLM38
- BlueCare Dental PPO - DTNHM39
- BlueCare Dental PPO - DTNLM40
- BlueCare Dental PPO - DTNHM41
- BlueCare Dental PPO - DTNHR50
- BlueCare Dental PPO - DTNHM57
- BlueCare Dental PPO - DTNLR58
Voluntary
- BlueCare Dental PPO - DTNHR42
- BlueCare Dental PPO - DTNHM43
- BlueCare Dental PPO - DTNHM45
- BlueCare Dental PPO - DTNHR51
- BlueCare Dental PPO - DTNHR52
- BlueCare Dental PPO - DTNLR53
- BlueCare Dental PPO - DTNLM54
- BlueCare Dental PPO - DTNHM59
- BlueCare Dental PPO - DTNLR60
These Summaries of Dental Benefits are also available in Spanish. View Spanish summaries.
All information represents an overview of coverage. It's not a complete list of what is covered or excluded. Information is subject to change. The full terms of coverage are located in the insurance policy.
Contact your Blue Cross and Blue Shield of Texas account representative with questions about our dental products.