Monthly premium

20.07
Dental Direct Standard
dental
2024
dental
https://www.bcbsri.com/individual/shop/dental/2024/dental-direct-standard

Who will be covered

Selecting this plan will add coverage for :

Dental Direct

Standard

This affordable plan is your best choice if you have a generally healthy mouth but might need minor services beyond checkups.

  • No cost for exams, cleanings, and X-rays in network
  • 9 out of every 10 dentists in Rhode Island are in our network
  • National coverage coast-to-coast
  • Blue Cross Dental also provides coverage for out-of-network care
  • No waiting periods for exams, cleanings, fillings and root canals; waiting periods may apply to other services
  • Meets ACA guidelines for pediatric dental coverage
  • Provides enhanced dental benefits for members with high-risk medical conditions like diabetes and coronary artery disease

What's covered

See if your dentist is in the network
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Coverage Type

Age 19 and Older, You Pay

Under Age 19, You Pay

Preventive Services

Oral exam, bitewing X-rays, complete X-ray series, single X-rays, and cleanings

$0

$0

Palliative Treatment

40%

20%

Basic Services

Fillings -- Amalgam and composite, all teeth

40%

50% after deductible

Simple Extractions

40%

75% after deductible

Denture repairs, adjustments, relines and rebasing

50% 

75% after deductible

Root Canal Therapy

40%

75% after deductible

Non-Surgical Periodontics1

Not Covered

75% after deductible

Surgical Periodontics1

Not Covered

75% after deductible

Oral Surgery and General Anesthesia1

40%

75% after deductible

Major Services

Crowns and Onlays1

Not Covered

75% after deductible

Fixed bridges, partial and complete dentures and single tooth implant1

Not Covered

75% after deductible

Oral Appliances

Night Guards

50%

50%

112-month waiting period applies, which means that these services are available once your policy has been in effect for 12 continuous months.
•We will accept evidence of substantially similar prior coverage to meet the waiting period requirements. You must provide the applicable information within 60 days of the effective date of the dental plan.