Anthem Blue Cross and Blue Shield dental has the following dental coverage plans available: Anthem Essential Choice PPO Dental plans and Medicare Advantage PPO plan with dental coverage. Anthem Essential Choice PPO Dental plans include the Essential Choice Incentive, Essential Choice Bronze, Essential Choice Silver, Essential Choice Gold, and Essential Choice Platinum. The only Medicare Advantage PPO plan with dental coverage is Anthem MediBlue Access PPO.

Anthem Blue Cross and Blue Shield dental coverage plans

With Anthem Blue Cross and Blue Shield dental, you may get dental insurance plans that are affordable. Anthem Blue Cross and Blue Shield dental plans are suitable for both individuals and families, and they provide a variety of options to help you cut costs on dental services. Among these dental services are preventive care like regular cleanings, oral exams, x-rays, and other dental treatments such as tooth fillings, crowns, and root canals. You can visit any dentist you like from Anthem’s large dental Preferred Provider Organization (PPO) network and pay less.

Anthem Dental Essential Choice Bronze

The Bronze plan is the least expensive among Anthem’s Essential Choice PPO dental plans. Not only does it have the lowest premium among the Essential Choice plans, it provides an estimated 100% coverage and has no waiting periods for diagnostic and preventive care like yearly dental exams, teeth cleanings, and x-rays. The Bronze plan also offers an estimate of 50% coverage for basic dental procedures like fillings and simple extractions with a 3 month waiting period. Depending on how many people are enrolled, the bronze plan’s deductible changes. The deductible for a single person is $50. Each additional enrollee in a family plan incurs a $50 deductible, with a $150 annual cap on the total family deductible. This deductible is waived if you received diagnostic and preventative services in-network.

Anthem Dental Essential Choice Silver

While many of the Silver plan’s out-of-pocket expenses are comparable to those of the Bronze plan, it also offers an estimate of 50% coverage for major dental procedures like crowns and root canals. This coverage for extensive dental procedures becomes effective after a 6 month waiting period.

Anthem Dental Essential Choice Gold

The plan maximum for the Gold plan is 50% higher than that of the Bronze or Silver plans. The plan will cover dental costs that are up to $1,500 in one calendar year. Additionally, the plan’s out-of-pocket expenses for specific dental services are lower than those of the Bronze or Silver plans. For example, the Gold plan provides an estimate of 80% coverage for basic dental services like fillings and simple extractions.

Anthem Dental Essential Choice Platinum

The Platinum plan offers an attractive out-of-pocket cost for services and a $2,000 annual plan maximum, despite having a higher monthly premium than the Bronze, Silver, and Gold plans. Orthodontic care is also covered under the Platinum plan for kids up to age 18. For eligible orthodontic care, this policy includes a $1,000 maximum lifetime benefit and a $150 lifetime deductible.

Anthem Dental Essential Choice Incentive

Within the product line, the Essential Choice Incentive PPO offers the highest plan maximum. The plan will pay up to $2,500 annually on covered dental services. In contrast, the Bronze and Silver plans only have a $1,000 plan maximum. Enrollees who obtain preventative care in accordance with the plan’s criteria are also eligible for rewards under the plan. This implies that as long as an enrollee receives at least one preventive care dental visit per year, their out-of-pocket expenses for fillings, crowns, and other selected dental services decrease in the second and third year of coverage. Orthodontic coverage is provided for kids under the age of 19 under the Incentive plan, just like it was for the Platinum plan. This policy offers a maximum lifetime benefit of $1,000 for approved orthodontic care after satisfying a $150 orthodontic deductible.

Anthem Dental MediBlue Access (PPO)

With Anthem MediBlue Access PPO dental plan, the in-network coverage for preventive dental services is estimated to be 100%. Preventive dental care includes 1 oral exam and 1 cleaning for each year. For out-of-network, the estimated coverage for preventive dental services is 20%.

Are you looking for a dental office where Anthem Blue Cross and Blue Shield dental is accepted? Our dentist accepts Anthem Blue Cross and Blue Shield Dental.

Anthem Blue Cross and Blue Shield dental tooth extraction cost coverage plan?

Anthem Blue Cross and Blue Shield dental offers an estimate of 50% – 80% coverage for simple tooth extractions with a 3 month waiting period. The Essential Choice Bronze and Silver plans provide an estimate of 50% coverage for simple extractions after deductible. This is for both in- and out-of-network patients. The Essential Choice Gold plan offers an estimated 80% coverage after deductible for in-network patients and an estimated 60% coverage after deductible for out-of-network patients. The Essential Choice Platinum plan gives an estimated 80% coverage after deductible for both in- and out-of-network patients. The Essential Choice Incentive plan offers an estimate of 60% coverage after deductible in the first year and by having at least one preventive visit each year, you will get rewarded with better coverage. For example, you will get an estimated 70% coverage after deductible for simple extractions in the second year and an estimated 80% coverage in the third year and after. Source

Anthem Blue Cross and Blue Shield Dental coverage Wisdom teeth removal?

Anthem Blue Cross and Blue Shield dental may cover part of your wisdom teeth removal depending on your specific plan and coverage. Please give us a call to find out what might be covered for your specific situation. Source

Does Anthem Blue Cross and Blue Shield Dental insurance cover X-Rays?

With Essential Choice Bronze and Gold plans, in-network patients will get an estimated 100% or full coverage for bitewing and periapical x-rays. On the other hand, out-of-network patients will get an estimated 80% coverage after deductible with no waiting period. The Essential Choice Silver, Platinum, and Incentive plans offer an estimate of 100% coverage for both in- and out-of-network patients. Source

Anthem Blue Cross and Blue Shield dental coverage plan for Braces?

The Essential Choice Platinum and Incentive plans offer an estimated 50% coverage after $150 lifetime deductible for braces and retentions. Orthodontic services, such as braces, are covered for children through age 18, up to $1,000 lifetime benefit maximum. The only difference between the two plans is that the Platinum plan has a waiting period of 12 months while the Incentive plan has no waiting period. Source

Is Invisalign covered by Anthem Blue Cross and Blue Shield dental insurance?

The Essential Choice Platinum and Incentive plans offer orthodontic coverage for clear aligners like Invisalign and other orthodontic treatments. Both plans provide an estimated 50% coverage after $150 lifetime deductible for Invisalign. Orthodontic services like Invisalign are covered for kids through age 18, up to $1,000 lifetime benefit maximum. The only difference between the two plans is that the Platinum plan has a waiting period of 12 months while the Incentive plan has no waiting period. Source

What does Anthem Blue Cross and Blue Shield Dental dental implant coverage?

Essential Choice Platinum plan offers an estimate of 50% coverage after deductible with a 6 month waiting period for dental implants. The Essential Choice Incentive plan provides an estimated 30% coverage after deductible in the first year and by having at least one preventive visit each year, you will get rewarded with better coverage like an estimated 40% coverage in the second year and an estimated 50% coverage in the third year and after. With the Essential Choice Incentive plan, there is no waiting period. Source

Does Anthem Blue Cross and Blue Shield dental cover dentures?

The Essential Choice Silver, Gold, and Platinum plans give an estimated 50% coverage for dentures with a 6 month waiting period. The Essential Choice Incentive plan provides an estimated 30% coverage after deductible in the first year and by having at least one preventive visit each year, you will get rewarded with better coverage like an estimated 40% coverage in the second year and an estimated 50% coverage in the third year and after. With the Essential Choice Incentive plan, there is no waiting period. Source

How much does Anthem Blue Cross and Blue Shield Dental cover for Veneers?

Anthem Blue Cross and Blue Shield dental may cover part of your dental veneers depending on your specific plan and coverage. Please give us a call to find out what might be covered for your specific situation.

Anthem Blue Cross and Blue Shield Dental for Gum Grafts?

Anthem Blue Cross and Blue Shield dental may cover part of your gum grafting depending on your specific plan and coverage. Please give us a call to find out what might be covered for your specific situation.

Does Anthem Blue Cross and Blue Shield dental plan cover Cleaning and Tooth Fillings?

With Essential Choice Bronze and Gold plans, dental cleanings are estimated to be 100% covered for in-network patients and estimated to be 80% covered for out-of-network patients. Essential Choice Silver, Platinum, and Incentive plans offer an estimated 100% coverage for teeth cleanings for both in- and out-of-network patients. Teeth cleanings are covered once every 6 months with no waiting period in all of the Anthem Essential Choice plans.

Essential Choice Bronze and Silver plans provide an estimated 50% coverage for tooth fillings with a 3 month waiting period. The Essential Choice Gold plan offers an estimated 80% coverage after deductible for in-network patients and an estimated 60% coverage for out-of-network patients with a waiting period of 3 months. The Essential Choice Platinum plan gives an estimate of 80% coverage for teeth fillings with a 3 month waiting period. The Essential Choice Incentive plan provides an estimated 60% coverage for dental fillings in the first year and by having at least one preventive visit each year, you will get rewarded with better coverage like an estimated 70% coverage on the second year and an estimated 80% coverage on the third year and after. With the Essential Choice Incentive plan, there is no waiting period.

For latest information, please visit: https://www.anthem.com/ca/individual-and-family/dental-insurance/ppo-dental-plans and https://www.anthem.com/ca/medicare/dental-vision-plans/dental-coverage for more details.

DISCLAIMER: This information is subject to change on behalf of the insurance company. We are providing this as an informal guide to help you determine which services at our office are covered by your insurance. For more detailed information, please see the insurance company’s website or call the customer service or member services number listed on most insurance ID cards. Updated as of 3/27/2023. The above logo & trademarks are property of Anthem Blue Cross and Blue Shield Dental.