Blue Dental PPO 100/50/50 (50/50/50)
Blue Cross Blue Shield of Michigan Mutual Insurance Company
High
- Ind. deductible
- $25
- Family deductible
- $25
- Ind. OOP max
- $450
- Family OOP max
- $450
Other cost-sharing reduction variants for this plan:
More Blue Cross Blue Shield of Michigan Mutual Insurance Company plans in MI
Monthly premiums by age
| Age | Individual |
|---|---|
| 21 | $19 |
| 30 | $21 |
| 40 | $24 |
| 50 | $29 |
| 60 | $35 |
Live premium estimate
Benefits & cost sharing
Other
| Benefit | In-network |
|---|---|
| Accidental Dental | 50.00% Coinsurance after deductible |
| Basic Dental Care - Adult | 50.00% Coinsurance after deductible |
| Basic Dental Care - Child | 50.00% Coinsurance after deductible |
| Dental Check-Up for Children | No charge |
| Major Dental Care - Adult | 50.00% Coinsurance after deductible |
| Major Dental Care - Child | 50.00% Coinsurance after deductible |
| Orthodontia - Adult | Not covered |
| Orthodontia - Child | Not covered |
| Routine Dental Services (Adult) | No charge |
Plan rules
Service area
This plan covers 1 geographic area.