Individual and Family Markets
Dental Plans for Individuals and Families
Your clients can complete their health care coverage with a dental plan from Blue Cross and Blue Shield of Texas.
Individual and Family Dental Plans
Preventive Services
All plans offer coverage for basic preventive services, including 100% coverage in-network for BlueCare Dental 1A plans.
Dental Procedures Coverage
Plans also offer coverage for other dental procedures, including oral surgery, extractions, restorative work, and more1.
Range of Rates
We offer a range of monthly rates to fit the budget of any client. Our new BlueCare Dental 1D plan features the lowest rates. Create a quote today.
Get a Quote for Your Client
The Retail Producer Portal offers a broker-assisted On Exchange enrollment solution for qualified health and dental plans in the individual and family markets. Powered by HealthSherpa, this flow will allow you to quote and enroll your clients in Blue Plans, via the Enhanced Direct Enrollment pathway.
You can access the sign-in page in two ways.
- Click "Enroll in On Exchange QHPs" or
- Enter the client census information, view matching plan results, and click Apply for this Plan for any on-exchange plan
BlueCare Dental Plans for Individuals and Families2
The benefits below show what the member will pay in network.3
Benefits |
BlueCare Dental 1A4 |
BlueCare Dental 1B4 |
BlueCare Dental 1C |
BlueCare Dental 1D |
| Individual Deductible (Family deductible equals 3 times individual) |
$25 |
$50 |
$50 |
$50 |
Annual Maximum |
$1,5005 |
$1,0005 |
$1,0005 |
$1,0005 |
Diagnostic Evaluations |
No charge6 |
No charge6 |
20%6 |
No charge6 |
Preventive |
No charge6 |
No charge6 |
20%6 |
No charge6 |
Diagnostic Radiographs |
No charge6 |
No charge6 |
20%6 |
No charge6 |
Miscellaneous Preventive Services |
20% |
No charge |
20% |
No charge |
Basic Restorative |
20% |
40% |
50%7 |
50%7 |
Non-Surgical Extractions |
20% |
40% |
50%7 |
50%7 |
Non-Surgical Periodontal |
20% |
40% |
50%7 |
50%7 |
Adjunctive Services |
20% |
40% |
50%7 |
50%7 |
Endodontics |
20% |
50% |
50%7 |
Not Covered |
Oral Surgery |
20% |
50% |
50%7 |
Not Covered |
Surgical Periodontal |
20%8 |
50%8 |
50%8 |
Not Covered |
Major Restorative |
50%8 |
50%8 |
50%8 |
Not Covered |
Prosthodontics |
50%8 |
50%8 |
50%78 |
Not Covered |
Miscellaneous Restorative & Prosthodontics Services |
50%8 |
50%8 |
50%8 |
Not Covered |
Orthodontics9 (up to age 19) |
50%6 |
50%6 |
50%6 |
50%6 |
Out-of-Pocket Maximum |
$425 for 1 child/ $850 for 2+ children |
$425 for 1 child/ $850 for 2+ children |
$425 for 1 child/ $850 for 2+ children |
$425 for 1 child/ $850 for 2+ children |
BlueCare Dental Plans for Kids Only2
The benefits below show what the member will pay in network.3
Benefits |
BlueCare Dental 4 Kids 1A |
BlueCare Dental 4 Kids 1B |
| Individual Deductible (Family deductible equals 3 times individual) |
$25 |
$50 |
Annual Maximum |
N/A |
N/A |
Diagnostic Evaluations |
No charge6 |
20%6 |
Preventive |
No charge6 |
20%6 |
Diagnostic Radiographs |
No charge6 |
20%6 |
Miscellaneous Preventive Services |
20% |
20% |
Basic Restorative |
20% |
50% |
Non-Surgical Extractions |
20% |
50% |
Non-Surgical Periodontal |
20% |
50% |
Adjunctive Services |
20% |
50% |
Endodontics |
20% |
50% |
Oral Surgery |
20% |
50% |
Surgical Periodontal |
20%8 |
50%8 |
Major Restorative |
50%8 |
50%8 |
Prosthodontics |
50%8 |
50%8 |
Miscellaneous Restorative & Prosthodontics Services |
50%8 |
50%8 |
Orthodontics9 (up to age 19) |
50%6 |
50%6 |
Out-of-Pocket Maximum |
$425 for 1 child/ $850 for 2+ children |
$425 for 1 child/ $850 for 2+ children |
1. You may need to have your plan for a certain amount of time, or “waiting period,” before benefits will be paid for some services. Be sure to check your certificate of benefits booklet for details.
2. The information on this page does not contain a complete listing of the exclusions, limitations and conditions that apply to the benefits shown. For full information, refer to the member’s certificate of benefits booklet.
3. All benefits shown represent in-network coverage. Members may pay more if they go out of network.
4. If choosing family coverage for BlueCare Dental 1A, refer to BlueCare Dental 4 Kids 1A for plan details for dependents under age 19. If choosing BlueCare Dental 1B, refer to BlueCare Dental 4 Kids 1B for plan details for dependents under age 19.
5. Annual maximum does not apply to members up to age 19.
6. Deductible is waived.
7. Six month waiting period from date of purchase applies before any services are allowed.
8. Twelve-month waiting period from date of purchase applies before any services are allowed.
9. Unlimited maximum for medically necessary orthodontia for members up to age 19.