Your dental provider offers an extensive list of network providers Dental that will provide flexibility and savings. We understand how important your health and well-being are and offer this comprehensive Dental Plan to help keep you on the right track. Amounts shown below are your responsibility. This table only shows in-network benefits. Base Plan Plus Plan Network BlueCare DentalSM BlueCare DentalSM $50 per person $50 per person Plan Year Deductible $150 per family $150 per family Covered in full Covered in full Preventive & Diagnostic Care Deductible waived Deductible waived Basic Care 50% 50% Major & Restorative Care 50% 50% Plan Year Maximum Per $1,000 $1,500 Person Orthodontia (Children under 50% after deductible up to Not covered 26) lifetime maximum Orthodontic Lifetime $1,500 per dependent Maximum per Dependent Not covered child Child Preventive Care How do I find in-network providers? Preventive care is covered at In-Network Providers can be found on 100% on both plans available. bcbsok.com under “Find a Dentist.” Choose the BlueCare Traditional Network. You can Studies show that oral health is also call 800-942-5837. closely tied to your overall health. For example, gum disease has connections to diabetes, heart disease, high blood pressure and stroke. Having access to a plan that will cover your preventive visits can go a long way in maintaining your overall health. 16

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