Did you know your dental health is linked to your overall health? Daily dental care and routine checkups can help you stay healthy. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offers affordable dental plans in addition to great health care coverage.
Are you looking for an Individual and Family Health, Medicare or Business plan?
Blue Cross NC offers three dental plans to fit your budget and dental care needs. You can see what is covered for preventive, basic and major services in the What’s Covered section below.
Which plan is right for you? With the two PPO plans you get richer benefits and better price points, in exchange for seeing dentists that are in the Blue Cross NC network. Individuals wanting to see a dentist who is not in the network may find the core plan to be a better fit.
Dental Blue for Individuals PPO:
Preventive Plan
Covers preventive services and savings on basic and major
Richer benefits in-network
$23.86
Per Member, Per Month
regardless of age
You pay 0% of in-network preventive care services and 0% of the allowed amount on out-of-network preventive care services after $20 copay1
No deductible on in-network and $250 deductible on out-of-network basic and major services
You pay no more than 70% of the total bill for basic services – like routine fillings – when seeing an in-network dentist
You pay no more than 70% of the total bill for major services when seeing an in-network dentist
For out-of-network basic and major services, you pay a $250 deductible and most of the cost, including amounts above the allowed amount1
Visit an in-network dentist for better benefits, and they will file the claims for you plus you won't have to pay charges over the allowed amount.
Note: This PPO plan will pay a higher benefit in-network. You may owe amounts above the allowed amount on out-of-network services.
Dental Blue for Individuals PPO 1500:
Value Plan
Covers preventive, basic and major services
Richer benefits in-network
$34.45
Per Member, Per Month
under 65 years old
$42.75
Per Member, Per Month
65 years or older
You pay 0% of in-network preventive care services and 30% of the allowed amount on out-of-network preventive care services1
$50 deductible in-network and $100 deductible on out-of-network basic and major services – $1500 annual maximum
You pay 20% of the negotiated rate for basic services – like routine fillings in-network and 50% of the allowed amount out-of-network
You pay 50% of the negotiated rate for major services when seeing an in-network dentist
For out-of-network major services, you pay 50% of the allowed amount and a $100 deductible
Visit an in-network dentist for better benefits, and they will file the claims for you plus you won't have to pay charges over the allowed amount.
Note: This PPO plan will pay a higher benefit in-network. You may owe amounts above the allowed amount on out-of-network services.
Dental Blue for Individuals:
Core Plan
Covers preventive, basic and major services
Same benefit level for contracted and non-contracted dentists
$35.95
Per Member, Per Month
under 65 years old
$44.35
Per Member, Per Month
65 years or older
You pay 0% of the allowed amount on preventive care services1
$75 deductible on basic and major services – $1000 annual maximum
You pay 30% of the allowed amount for basic services – like routine fillings
You pay 50% of the allowed amount for major services
While you pay the same percentage in- and out-of-network, you may owe on costs above the allowed amount out-of-network1
Visit any dentist you want, but visiting an in-network dentist means they will file the claims for you and you won't have to pay charges over the allowed amount.
Note: This Core plan pays the same benefit percentage in- and out-of-network. You may owe amounts above the allowed amount on out-of-network services.
Learn more about these options in our Dental Plan Brochure.
What’s covered
Preventive
PPO Preventive Plan
- Routine dental exams (twice per year)
- Cleanings (twice per year)
- Panoramic and bitewing X-rays
- Fluoride treatments (up to age 18)
- Sealants (ages 6-15)
- Palliative emergency treatment
PPO 1500 Value Plan and Core Plan
- Routine & problem focused dental exams (twice per year)
- Cleanings (twice per year)
- Panoramic, full-mouth and bitewing X-rays
- Fluoride treatments (up to age 18)
- Sealants (ages 6-15)
- Space maintainers
- Pulp testing
- Palliative emergency treatment
Basic
PPO Preventive Plan
- Routine fillings
- Simple extractions
- Stainless steel crowns
- Pulp testing
- Space maintainers (for members under the age of 16)
- Problem-focused dental exams (twice a year)
- Full-mouth x-rays
PPO 1500 Value Plan and Core Plan
- Routine fillings
- Simple extractions
- Stainless steel crowns
Major
Applies to all three plans
- Gingival curettage
- Gingivectomy and gingivoplasty
- Periodontal maintenance
- Inlays/onlays
- Porcelain crowns
- Dentures
- Bridges
- Oral surgery
- Endodontics
Deductible for basic and major services
PPO Preventive Plan
- $0 for in-network services
- $250 for out-of-network services
PPO 1500 Value Plan
- $50 deductible for basic and major services in-network
- $100 deductible for out-of-network
Core Plan
- $75 deductible for basic and major services
Annual Maximum – amounts that Blue Cross NC pays for preventive, basic and major services apply to the Annual Maximum
PPO Preventive Plan
- $5,0003
PPO 1500 Value Plan
- $1,5003
Core Plan
- $1,0003
Waiting Periods2
Blue Cross NC has waiting periods for some dental services.
PPO Preventive Plan
- No waiting period on any services
PPO 1500 Value Plan and Core Plan
- Preventive Services: No waiting period
- Basic Services: 6-month waiting period
- Major Services: 12-month waiting period
Start Shopping
It’s easy to apply for a dental insurance plan online.
- Click Apply Now below
- Enter some information about yourself
- Submit your application
Already shopping for a Blue Cross NC health plan? Add a dental plan to your health plan application before submitting.
Need more help?
- Read our Frequently Asked Questions below
- Call us at 1-800-324-4973, Monday - Friday, 8 a.m. - 5 p.m.
How it Works
Using your dental insurance couldn’t be easier:
Choose a licensed dentist practicing in North Carolina
Make an appointment
Show your Blue Cross NC member ID card at the dentist’s office
Though most dentist offices will file a claim for you, if they don't offer that service, you will need to file the claim.