Blue Links for Employers

Dental Blue SelectSM

Dental Blue Select rewards employees for using in-network providers with fewer out-of-pocket expenses. Employees can also visit a non-participating dentist of their choice at a lower level of benefits.

Dental Blue Select now includes an exciting new benefit. Beginning with January 2009 renewals, all small group dental plans (those with fewer than 51 eligible members) will now include an Accumulated Maximum Rollover benefit on their anniversary date. This rollover benefit allows each member to roll over certain unused annual dental benefits to be used in a future year (provided they meet specific criteria). Details of this new benefit can be found on the last page of any Summary of Benefits with anniversaries January 1, 2009 or later. This benefit is optional for large groups.

Network Preventive Benefit Group Basic Benefit Group Major Benefit Group Maximum Ortho Anniversaries Beginning 4/1/10 Anniversaries Beginning 1/1/11
In
Out Of		 100%
100% after $25 Ded.		 100%
80%		 60%
50%		 $1500   Summary of Benefits Summary of Benefits
In
Out Of		 100%
100% after $25 Ded.		 90%
80%		 60%
50%		 $1500   Summary of Benefits Summary of Benefits
In
Out Of		 100%
100% after $25 Ded.		 100%
80%		 60%
50%		 $1000   Summary of Benefits Summary of Benefits
In
Out Of		 100%
100% after $25 Ded.		 90%
80%		 60%
50%		 $1000   Summary of Benefits Summary of Benefits
In
Out Of		 100%
100% after $25 Ded.		 100%
80%		 60%
50%		 $1500 $1000 Summary of Benefits Summary of Benefits
In
Out Of		 100%
100% after $25 Ded.		 90%
80%		 60%
50%		 $1500 $1000 Summary of Benefits Summary of Benefits
In
Out Of		 100%
100% after $25 Ded.		 100%
80%		 60%
50%		 $1000 $1000 Summary of Benefits Summary of Benefits
In
Out Of		 100%
100% after $25 Ded.		 90%
80%		 60%
50%		 $1000 $1000 Summary of Benefits Summary of Benefits
In
Out Of		 100%
100% after $25 Ded.		 100%
80%		 60%
50%		 $1000 $1500 Summary of Benefits Summary of Benefits
In
Out Of		 100%
100% after $25 Ded.		 100%
80%		 60%
50%		 $1500 $1500 Summary of Benefits Summary of Benefits
In
Out Of		 100%
100% after $25 Ded.		 90%
80%		 60%
50%		 $1000 $1500 Summary of Benefits Summary of Benefits
In
Out Of		 100%
100% after $25 Ded.		 90%
80%		 60%
50%		 $1500 $1500 Summary of Benefits Summary of Benefits
Blue Cross Blue Shield of Massachusetts

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