Mid-market - Dental plan options

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Health care benefit programs issued or administered by Capital BlueCross and/or its subsidiaries, Capital Advantage Insurance Company^®, Capital Advantage Assurance Company^® and Keystone Health Plan^® Central. Independent licensees of the BlueCross BlueShield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley. Communications issued by Capital BlueCross in its capacity as administrator of programs and provider relations for all companies.

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2027 plans

PPO dental plans

Plan	Office visit copay	Deductible	Benefit period program maximum
Dental PPO Value 75	$15 routine exam	None	$1,000 per member per benefit period
Dental PPO Basic	None	$50 per member $150 per family	$1,500 per member per benefit period
Dental PPO Classic 1500	None	$50 per member $150 per family	$1,500 per member per benefit period
Dental PPO Classic 2000	None	$50 per member $150 per family	$2,000 per member per benefit period
Dental PPO Choice 1500	None	$50 per member $150 per family	$1,500 per member per benefit period
Dental PPO Choice 2000	None	$50 per member $150 per family	$2,000 per member per benefit period
Dental PPO Plus 1500	None	$50 per member $150 per family	$1,500 per member per benefit period
Dental PPO Plus 2000	None	$50 per member $150 per family	$2,000 per member per benefit period
Dental EPO Copay Essential	None	$25 per member $75 per family	$2,000 per member per benefit period

Select dental plans

Plan	Office visit copay	Deductible	Benefit period program maximum
Dental Select 705x	$10	None	None

2026 plans

PPO dental plans

Plan	Office visit copay	Deductible	Benefit period program maximum
Dental PPO Value 75	$15 routine exam	None	$1,000 per member per benefit period
Dental PPO Basic	None	$50 per member $150 per family	$1,500 per member per benefit period
Dental PPO Classic 1500	None	$50 per member $150 per family	$1,500 per member per benefit period
Dental PPO Classic 2000	None	$50 per member $150 per family	$2,000 per member per benefit period
Dental PPO Choice 1500	None	$50 per member $150 per family	$1,500 per member per benefit period
Dental PPO Choice 2000	None	$50 per member $150 per family	$2,000 per member per benefit period
Dental PPO Plus 1500	None	$50 per member $150 per family	$1,500 per member per benefit period
Dental PPO Plus 2000	None	$50 per member $150 per family	$2,000 per member per benefit period
Dental EPO Copay Essential	None	$25 per member $75 per family	$2,000 per member per benefit period

Select dental plans

Plan	Office visit copay	Deductible	Benefit period program maximum
Dental Select 705x	$10	None	None

Need help?

855.505.2583

Health plans

Add-on plans

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Dental plan options

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2027 plans

PPO dental plans

Select dental plans

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2026 plans

2026 plans

PPO dental plans

Select dental plans

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Need help?

Health plans

Add-on plans