SUMMARY
In-network offices in
Florida
ADULT (AGE 19+)
Coinsurance
(Preventive,
in-network)
Coinsurance
(Basic, in-network)
Coinsurance
(Major, in-network)
Oral
Health for Overall Health
PEDIATRIC
(AGE 0-18)
Coinsurance
(Preventive, in-network)
Coinsurance
(Basic, in-network)
Coinsurance
(Major, in-network)
Orthodontia/Implants
(medically
necessary, in-network)
Oral
Health for Overall Health
In-network offices in
Florida
1,500+
National
network access
No
Out-of-network coverage
No
Plan
features
No deductible, annual maximum or waiting period
Plan
availability
Select Counties
Monthly
premium
11.99 (plus $35 enrollment fee)
Coinsurance (Preventive,
in-network)
Coinsurance (Basic,
in-network)
Waiting period (basic)
None
Waiting period (major)
None
Maximum
Rollover
Not Included
Oral Health for Overall
Health
Not Included
BlueDental
Loyalty
Not Included
Monthly
premium
11.99 (plus $35 enrollment fee)
Orthodontia/Implants
(medically necessary, in-network)
Not covered
Out-of-pocket
maximum
Not applicable
Oral Health for Overall
Health
Not included
In-network
offices in Florida
3000
National
network access
Yes
Out-of-network coverage
Yes
Plan availability
Statewide
Monthly
premium
Age 19-63: $25.35
Age 64+: $39.31
Deductible
$50 (Basic and Major services)
Coinsurance (Preventive,
in-network)
Coinsurance (Basic,
in-network)
Waiting period (basic)
6 months
Waiting period (major)
6 months
Oral Health for Overall
Health
Included
BlueDental
Loyalty
Included
Deductible
$25 (all services)
Orthodontia/Implants
(medically necessary, in-network)
Out-of-pocket
maximum
1 child: $375 ($400 as of Jan. 1, 2024)
2+ children: $750 ($800 as of Jan. 1, 2024)
Oral
Health for Overall Health
Included
In-network
offices in Florida
5400
National
network access
Yes
Out-of-network coverage
Yes
Plan availability
Statewide
Monthly
premium
Age 19-63: $34.47
Age 64+: $52.77
Deductible
$50 (Basic and Major services)
Coinsurance (Preventive,
in-network)
$0
Coinsurance (Basic,
in-network)
You pay 20%
Coinsurance (major)
You pay 50%
Waiting period (basic)
6 months
Waiting period (major)
6 months
Oral Health for Overall
Health
Included
BlueDental
Loyalty
Included
Deductible
$50 (Basic and Major services)
Coinsurance (preventive)
$0
Coinsurance (basic)
You pay 20%
Coinsurance (major)
You pay 50%
Orthodontia/Implants
(medically necessary,
in-network)
You pay 50%
(preauthorization required)
Out-of-pocket
maximum
1 child: $375 ($400 as of Jan. 1, 2024)
2+ children: $750 ($800 as of Jan. 1, 2024)
Oral
Health for Overall Health
Included