Dental Insurance

​​​​​​​​​Alachua County offers 3 dental plan options through Florida Combined Life. Alachua County pays 80% of the single rate for each plan. Dental insurance models are very different than health insurance models and should not be compared. Rarely do dental plans pay 100% of the expenses for dental care. Employees incur a larger share of the expenses.

BlueDental Choice PPO - High Option
BlueDental Choice PPO - High Option

There are three PPO options - low, high and plus​.  The PPO plans allow you to receive benefits from any licensed dentist.  There is a preferred network and reimbursements for the low and high plan are higher if you go to an in network provider.   The plus plan reimburses the same percentage both in and out of network but an out of network provider can balance bill you.  The provider directory can be viewed at www.floridablue.com​.  You, or your dentist, will file a claim form and be reimbursed for services according to a pre-determined percentage basis.

In Network reimbursement

  • Preventative Services - 100% of allowed amount (no deductible)
  • Oral Exams, Cleanings, Bitewing x-rays
  • Basic Services - 85% of allowed amount
  • Extractions, Root Canals, Periodontal Scaling, etc.
  • Major Services - 55% of allowed amount
  • Plan year maximum - $2,000 per covered person
  • Orthodontia benefit - $1,000 lifetime benefit​
  • Crowns, Bridges, Dentures, etc.
  • In network dentists can not bill more than the allowed amount
  • $50 individual/$150 family deductible

Out of Network reimbursement

  • Preventative Services - 80% of allowed amount (no deductible)
  • Basic Services - 60% of allowed amount
  • Major Services - 40% of allowed amount
  • Out of network dentists can bill in excess of the allowed amount
  • $100 Individual/$300 Family annual deductible
  • Plan year maximum - $2,000 per covered person
  • Orthodontia benefit - $1,000 lifetime benefit
  • 12 month waiting period may apply to orthodontia
​
False
BlueDental Choice PPO - Low Option
BlueDental Choice PPO - Low Option

In Network reimbursement

  • Preventative Services - 100% of allowed amount (no deductible)
  • Oral Exams, Cleanings, Bitewing x-rays
  • Basic Services - 80% of allowed amount
  • Extractions, Amalgam Restorations (Silver Fillings), etc
  • Major Services - 50% of allowed amount
  • Crowns, Root Canals, Periodontal Scaling, Bridges, Dentures, etc.
  • Plan year maximum - $1,000 per covered perso
  • No Orthodontia benefit​
  • In network dentists can not bill more than the allowed amount
  • $50 Individual/$150 Family annual deductible

Out of Network reimbursement

  • Preventative Services- 70% of allowed amount (no deductible)
  • Basic Services - 50% of allowed amount
  • Major Services - 30% of allowed amount
  • Out of network dentists can bill in excess of the allowed amount
  • $100 Individual/$300 Family annual deductible
​
False
BlueDental Choice PPO - Plus
BlueDental Choice PPO - Plus

In Network reimbursement

  • Preventative Services - 100% of allowed amount (no deductible)
  • Oral Exams, Cleanings, Bitewing x-rays
  • Basic Services - 85% of allowed amount
  • Extractions, Root Canals, Periodontal Scaling, etc.
  • Major Services - 55% of allowed amount
  • Crowns, Bridges, Dentures, etc.
  • In network dentists can not bill more than the allowed amount
  • $50 individual/$150 family deductible

Out of Network reimbursement

  • Preventative Services - 100% of allowed amount (no deductible)
  • Oral Exams, Cleanings, Bitewing x-rays
  • ​Basic Services - 85% of allowed amount
  • Extractions, Root Canals, Periodontal Scaling, etc
  • Major Services - 55% of allowed amount
  • Crowns, Bridges, Dentures, etc.​
  • $100 Individual/$300 Family annual deductible
​
False
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