Internet Explorer is not supported for this application. For the best experience, use a supported browser such as Firefox, Safari, Chrome or Edge.

Tell us where you live.

Please enter your 5-digit zip code below to view premiums for available BCBS FEP Dental plans in your area.

 

Are you an international employee living overseas? Check our international premiums.

BENEFITS CHART

Compare your premium costs to the benefits for each plan option to determine which plan is right for you.

Benefits Chart Benefits Chart - High Option
Benefit High Option High Option Standard Option
IN-NETWORK OUT-OF-NETWORK IN-NETWORK OUT-OF-NETWORK
Class A (Basic) Services e.g., exams, preventative cleanings, X-rays, sealants You pay nothing You pay 10% You pay nothing You pay 40%
Class B (Intermediate) Services e.g., oral surgery, fillings, deep cleanings. You pay 30% You pay 40% You pay 45% You pay 60%
Class C (Major) Services e.g., crowns, bridges, implants, root canals, dentures You pay 50% You pay 60% You pay 65% You pay 80%
Class D (Orthodontics) Services Adults & Children You pay 50% up to $3,500 lifetime maximum per person You pay 50% up to $3,500 lifetime maximum per person You pay 50% up to $2,500 lifetime maximum per person You pay 50% up to $1,250 lifetime maximum per person
Annual Deductible
for Class A, B and C Services
Does not apply to Class D (Orthodontics)
You pay
no deductible
You pay $50
per person
You pay
no deductible
You pay $75
per person
Annual Maximum Benefits
for Class A, B and C Services
Does not apply to Class D (Orthodontics)
No benefit limit We pay up to
$3,000 per person
We pay up to
$1,500 per person
We pay up to
$750 per person
Benefits Chart - Standard Option
Standard Option
IN-NETWORK OUT-OF-NETWORK
Class A (Basic) Services e.g., exams, preventative cleanings, X-rays, sealants You pay nothing You pay 40%
Class B (Intermediate) Services e.g., oral surgery, fillings, deep cleanings You pay 45% You pay 60%
Class C (Major) Services e.g., crowns, bridges, implants, root canals, dentures You pay 65% You pay 80%
Class D (Orthodontics) Services Adults & Children You pay 50% up to $2,500 lifetime maximum per person You pay 50% up to $1,250 lifetime maximum per person
Annual Deductible
for Class A, B and C Services
Does not apply to Class D (Orthodontics)
You pay
no deductible.
You pay $75
per person
Annual Maximum
for Class A, B and C Services
Does not apply to Class D (Orthodontics)
We pay up to
$1,500 per person
We pay up to
$750 per person

Found a plan that works for you? Enroll now through BENEFEDS.gov or call 1-877-888-FEDS (3337); TTY: 1-877-889-5680.