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Health & Wellness

A total-health solution that surrounds everyone with the help they need to live healthier, feel better and save money doing it.

Plans

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Dental Program

Participating Provider Plans
Blue Cross and Blue Shield of Georgia Dental Plans are offered in a variety of designs. Differences in the designs include the coinsurance rates for Preventive, Basic, and Major services, as well as the Calendar Year Deductible and Calendar Year Maximum. 
Click on a Plan Number to see a Summary of Benefits for that Plan option. 
Employee Funded Plans ( Voluntary Plans ) 

Small Group Plans Annual Deductible Annual Maximum In-Network Dental Coinsurance* Child Ortho?
Number 
   
Preventive 
Basic 
Major 
Coinsurance 
7000DV** 
$50 
$1,000 
100% 
50% 
50% 
NO ORTHO 
$50 
$1,000 
100% 
80% 
50% 
NO ORTHO 
$50 
$1,500 
100% 
80% 
50% 
$50 COINS 
$50 
$1,500 
100% 
80% 
50% 
NO ORTHO 
$50 
$1,000 
75%|100% 
60%|80% 
25%|50% 
50% COINS 
$50 
$1,000 
100% 
80% 
50% 
50% COINS 
$50 
$1,000 
100% 
80% 
50% 
NO ORTHO 
*See plan summary for out-of-network details. **Out of Network Fee Schedule  
Small Group Book Rates and Region Definitions 
4th Qtr 2005 Voluntary Dental Plan Rates
1st Qtr 2006 Voluntary Dental Plan Rates
Employer Funded Plans 

Plan Number Annual Deductible Annual Maximum Dental Coinsurance Ortho?
     
Preventive 
Basic 
Major 
Ded. & Coins. 
2 
$50 
1,000 
100% 
80% 
50% 
NO ORTHO 
20 
$50 
1,500 
100% 
80% 
50% 
NO ORTHO 
28 
$50 
1,000 
100% 
80% 
50% 
$50 DED 50% 
35 
$25 
1,500 
100% 
80% 
50% 
$25 DED 50% 
36 
$50 
$1,500/$1,500 Orthodontic Lifetime Maximum 
100% 
80% 
50% 
$50 DED 50% 
85 
$25 
$1,000 
100% 
80% 
50% 
$25 DED 50% 
86 
$50 
$1,500 
100% 
80% 
50% 
NO ORTHO 
87 
$50 
$1,500 
100% 
80% 
50% 
$50 DED 50% 
88 
$25 
$1,500 
80% 
50% 
50% 
$25 DED 50% 
89 
$50 
$1,000 
80% 
50% 
50% 
NO ORTHO 
 
© 2016 BlueCross BlueShield of Georgia
Blue Cross and Blue Shield of Georgia, Inc. and Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. are independent licensees of the Blue Cross and Blue Shield Association. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.