Healthy Smiles Plus

Optional Supplemental Dental*

*Not available for True Blue SNP

For only $24.20 more per month, Healthy Smiles Plus covers preventive dental services with no maximum limits, no in-network deductibles and no waiting periods. Because Blue Cross of Idaho covers 100 percent of in-network preventive services after a $20 copayment, this plan is the best option if you’re looking for a low premium dental plan that encourages good oral habits that help maintain a healthy smile.

Healthy Smiles Plus preventive benefits include:

  • Oral examinations – once in a six-month period
  • Emergency oral examination
  • Panoramic X-ray or full mouth series X-ray – one time in any five consecutive years
  • Bitewing X-rays – once per benefit period
  • Periapical X-rays
  • Cleanings – regular cleaning or periodontal maintenance – once in a six-month period

Additional Basic Dental Services

Healthy Smiles Plus offers the following basic dental services after satisfying a six-month waiting period and $50 deductible (in-network preventive services don’t apply to deductible).

  • Fillings – same tooth surface restoration covered once in a two-year period
  • Extractions
Preventive In-Network Out-of-Network
Deductible $0 $50 per member, per benefit period
Benefit Period Maximum None
Preventive Dental Services (oral exams, cleanings, x-rays) Covered at 100% of maximum allowance after $20 copayment per visit Covered at 50% of maximum allowance after deductible

 

Basic In-Network Out-of-Network
Deductible $50 per member, per benefit period
Plan Benefit Period Maximum $1,000 per member, per benefit period
Basic Dental Services (fillings, extractions) Covered at 80% of the maximum allowance after deductible Covered at 50% of maximum allowance after deductible

Y0010_MK18081 Approved 6/6/2018
Last updated 5/22/2018