Dental Plans

Fully Insured Group Summary of Dental Benefits

Key Advantages:

  • Access to one of the largest dental PPO provider networks in the state
  • Now available to a minimum group size of 2
  • Choice of out-of-network reimbursement level at the schedule of maximum allowance (SMA) or 90th percentile of usual and customary
  • Offered with BCBSNM medical plans or on a stand-alone basis
  • Orthodontia services available to minimum group size of 2; coverage for both adults and children*
  • No waiting period for major services

Underwriting Guidelines:

  • Minimum dental enrollees of 2 for small group plan choices; minimum dental enrollees of 51 for large group plan choices
  • Standard BCBSNM participation guidelines apply
  • Employer must contribute at least 50% of single-tier premium

Benefit Plan Designs:

BlueCare Dental Freedom PPO – This is known as a passive plan design and has benefit coverage at the same benefit level whether members use in-network or out-of-network providers.

BlueCare Dental Choice PPO – This is known as an active plan design. Members receive a higher level of benefits when they use in-network providers than if they use out-of-network providers.

For more information, please contact your account executive at 1-505-837-8787 or toll-free at 1-800-672-9700.

Note: The current Classic DentalBlue PPO plans are no longer available.