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Regence BlueShield is an Independent Licensee of the Blue Cross and Blue Shield Association.

Regence Health & Life Insurance Company

Dollar-Based Dental | Incentive-Based Dental

Individual Dental Insurance
Indivdual Dental insurance for individuals or families. Pay by credit card, or print your pre-filled application and mail it in with your check. To begin, please enter your zip code and click on the Get More Info button. Zip Code:
Premium Rates
 
Monthly Premium
Per Member
Quarterly Premium
Per Member
Dental Only
Dental & Vision
Dental Only
Dental & Vision
Under Age 18
$25.40
$28.01
$76.20
$84.03
18 through 64
$46.05
$50.67
$138.15
$152.01
65 and over
$58.31
$64.22
$174.93
$192.66
You may enroll for Dental Only Coverage or Dental with Vision Coverage.
All members must be enrolled for the same coverage and preimum payment schedule

Individual Dollar-Based Dental Benefits
$1,500 Annual Max
 
$1,250 Annual Max
 
$1,000 Annual Max
$750 Annual Max
Year 1
Year 2
Year 3
Year 4
Plan pays:
100% of the first $150 of care
80% of the next $500 of care
50% of the remaining care until annual benefit maximum is reached
       
Dollar Based Benefits Percent covered Benefit payment
Year 1
$0-$150*
100% $150
$151-$650
80% $400
$651-$1050
50% $200
Maximum Policy Year Benefit
$750
Year 2
$0-$150
100% $150
$151-$650
80% $400
$650-$1550
50% $450
Maximum Policy Year Benefit
$1,000
Year 3
$0-$150*
100% $150
$151-$650
80% $400
$651-$2050
50% $700
Maximum Policy Year Benefit
$1,250
Year 4+
$0-$150*
100% $150
$151-$650
80% $400
$651-$2550
50% $950
Maximum Policy Year Benefit
$1,500

Incentive: You control your benefit increase by receiving at least one cleaning and exam during the benefit year.

  • No deductibles
  • No limitations or exclusions for covered services, except orthodontia, theeth bleaching and veneers
  • Six month waiting period
  • Optional Vision Rider available:  $150 in services and/or hardware every 24 months
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