
Dental insurance is an important piece of the health insurance puzzle. Perhaps you can't get dental coverage through your job, or your current benefits package provides you with no dental insurance coverage.
Anthem Blue Cross and Blue Shield of Virginia now offers Individual Dental, a comprehensive dental plan that provides preventive, restorative and complex dental benefits, and gives you the option of using a cost-saving network of dental providers.
Whether you’re self-employed, can’t get dental coverage through your employer, retired, or would like dental benefits in addition to your Anthem Medicare Supplement, Anthem's Individual Dental plan will give you something to smile about! Read the following dental insurance details and then click the sign up button at the bottom of the page to sign up for the Anthem Individual Dental Plan.
Anthem provides a network of participating dental providers to help you save on the cost of dental care. Visiting a network dentist will help you make the most of your benefits, because your share of the cost increases when you visit a non-participating dentist.
For example, non-participating dentists may not accept our
reimbursement as payment in full. Therefore, you may be responsible for
the balance of the bill for any service. In addition, with preventive
care, diagnostic
and radiographic services, you’ll have a higher coinsurance amount when
you visit a non-participating dentist, and with restorative and complex
services, you’ll have a separate, higher deductible. To locate a local
Anthem
network dentist near you, click Find a Doctor and
select "Find a Dental Provider".
Some services require a deductible.
A deductible is the amount you pay toward covered services each year
before receiving benefits. Anthem’s Individual Dental Plan has a “family deductible”
that saves you money when you have more than three family members
covered on your plan. Once amounts counted toward individual
deductibles equal the family deductible, (3 times the individual
deductible), we consider all
other deductibles met for the rest of the year.
| Category | Monthly Premium |
| 1) Adult under 50 | $33.00 |
| 2) Adult 50 or older | $38.25 |
| 3) Child* | $21.25 |
| *No additional premium is charged for more than six children. | |
With a child-only policy, the first child enrolled without an adult is charged the same as an adult under 50. Plus one time $25.00 application fee.
| Covered Service | Frequency | Coinsurance | ||
| In-Network | Out-of-Network | |||
| Diagnostic (Oral exams) |
Two per year | 0% | 50% | |
| Set of bitewing X-rays | One
per year (not in same year as full mouth x-ray) |
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| Full
mouth X-rays (Age 5 and over) |
One every three years | |||
| Preventive (Includes cleanings, topical fluoride treatments for children under age 16, space maintainers for children under age 12) |
Two dental cleanings per year | |||
| Covered Service | Waiting Period | Coinsurance | Deductible | ||
| In-Network | Out-of-Network | In-Network | Out-of-Network | ||
| Restorative
Services (fillings) |
6 Months | 50% | 50% | 50% | 100% |
| Simple Extractions | |||||
| Adjunctive
Services (Emergency treatment of dental pain for minor procedure, general anesthesia with oral surgery) |
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| Oral
Surgery (Includes root removal, treatment of abscess) |
18 Months | ||||
| Prosthodontic
Services (Onlays, crowns, dentures) |
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| Endodontic
Services (Root canals) |
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| Periodontal
Services (Includes periodontal cleaning, scaling, root planing) |
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