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Georgia Individual Dental & Vision Insurance Plans

Georgia

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Besides helping you keep a great smile, regular dental check-ups can help find early warning signs of health issues. That's one really good reason to take excellent care of your teeth and gums. And dental coverage from Blue Cross and Blue Shield of Georgia can help make it easy and affordable.

Dental Prime

Traditional dental insurance plans that cover a percentage of the cost of treatments and services

  • Three plan choices. Choose from a plan that covers only the basic diagnostic and preventive services (like cleanings, exams and x-rays) to a plan that covers more services (such as fillings, root canals, crowns and implants).
  • Enroll in coverage for yourself, you and a dependent, or your entire family.
  • Exams, cleanings, and X-rays are covered at 100%.
  • An extra cleaning or periodontal maintenance procedure is available each year for those who are pregnant or living with diabetes.
  • No waiting period for diagnostic and preventive services. (Waiting periods may apply for certain other coverage.)
  • A benefit for a brush biopsy which, together with a surgical biopsy, helps detect oral cancer1.
  • You can go to any dentist, but you'll save money by choosing one from our network of participating dentists.

1Not available on all plans

Optional vision coverage

Our optional Blue View VisionSM plan features:

  • A broad, convenient, national network — The Blue View Vision network has over 30,000 private practice doctors and more than 25,000 locations, including the nation's leading retail stores including LensCrafters®, Sears OpticalSM, Target Optical®, JCPenney® Optical, and select Pearle Vision locations. These retail locations offer convenient evening and weekend hours. You can also use your benefits online with 1800 CONTACTS®.

BCBSGA Dental Pediatric Plans

Our BCBSGA Dental Pediatric plan provides the ACA required dental Essential Health Benefits for children (age 18 and younger). This stand-alone pediatric dental plan is an option if your health plan does not already included these benefits.

The BCBSGA Dental Pediatric plan provides coverage for:

  • Diagnostic & Preventive Services (cleanings, exams and x-rays) covered at 100% when you visit a participating dentist
  • Basic Services (fillings)
  • Complex & Major Services (Crowns, root canals, oral surgery)
  • Medically necessary orthodontia

Here are a few other things you should know about the BCBSGA Dental Pediatric plan.

  1. There are no waiting periods for any covered services.
  2. There is no coordination of benefits.
  3. There is no yearly limit on coverage (what we pay).
  4. There is a yearly limit on out-of-pocket expenses (what you pay). That limit is $350 per child, up to 2 children per family. For example, if there are three children in a family and the out-of-pocket max is $350 for 1 child, the family wouldn’t pay more than $700, even though they have 3 children.
  5. You can go to any dentist, but you’ll save money by choosing one from our network of participating dentists.

BCBSGA Dental Family and Dental Family Enhanced Plans

Our Family and Family Enhanced plans provide dental coverage for children (age 18 and younger) as well as adults (age 19 and older). Coverage for children provides the ACA required dental Essential Health Benefits.

The BCBSGA Dental Family and Family Enhanced plans provide coverage for:

  • Diagnostic & Preventive Services (cleanings, exams and x-rays) covered at 100% when you visit a participating dentist
  • Basic Services (fillings)
  • Complex & Major Services (Crowns, root canals, oral surgery)
  • Medically necessary orthodontia

The BCBSGA Dental Family Enhanced plan also offers:

  • A lower deductible
  • Higher benefit amounts for some services
  • Coverage for cosmetic orthodontia for children (after a 12 month waiting period)

This information is not your policy and is intended as a brief summary of service. If there is any difference between this page and the policy, the provisions of the policy shall control.

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