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Individual Select Preferred Dental Plus

Individual Select - Preferred Dental Plus offers a broad range of coverage of routine dental services and major dental procedures with access to one of the largest provider networks in the country.

If you have questions or need assistance, call our Sales Specialists at (410) 356-8000 or toll free at (800) 544-8703, Monday-Friday, 8 a.m. – 8 p.m.

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Overview

The Individual Select - Preferred Dental Plus plan offers the following advantages:

  • Large provider network with access to more than 60,000 dental providers nationally
  • Dental coverage includes:
    • Preventive care including cleanings, examinations, and X-rays
    • Basic services including fillings and extractions
    • Major surgical services including oral surgery and root canal therapy
    • Major restorative services including dentures, fixed bridges, and crowns
    • Orthodontia coverage for chldren up to age 19
  • No charge (in-network) for oral exams, cleanings and X-rays
  • Low deductibles
  • No referrals required
  • No claim forms to file when using an in-network provider
  • Guaranteed acceptance
How the Plan Works

The plan offers wide-ranging dental coverage and gives you freedom to choose any dentist you want to use. However, your out-of- pocket costs will be higher if you select a provider that is not participating in the network. Referrals are not required, meaning you can seek care whenever, and from whomever, you choose. You’ll even save money because we offer low deductibles and do not charge for in-network oral exams, cleanings, or X-rays.

When you enroll, you will receive a membership card and detailed information packet.

When you need care, just call your dental provider and make an appointment. Be sure to take your card with you! You can access Find a Provider to find an in-network provider near you. Select the option for "Preferred Dental (PPO), DP is noted on your ID card". If you receive care from an in-network provider, the dentist will submit all the necessary forms. Members who use a non-participating provider may be required to pay the full cost at the time of service and will need to submit a claim form to be reimbursed for covered services.

Once enrolled, if you have questions or need assistance, call Customer Service at (866) 891-2802, Monday-Friday, 8:30 a.m. – 5:15 p.m.

Select Level of Coverage

Select a Coverage Level and Designate a Payment Option

CareFirst BlueCross BlueShield (CareFirst) offers Individual Select - Preferred Dental Plus, a comprehensive dental plan to residents of Maryland, D.C., and parts of Northern Virginia1. You must agree to remain in the plan for at least one year. The plan will automatically renew from year to year unless terminated year.

MD/DC Rates

Type of Plan
Annual Cost
Quarterly*
Individual $441.96 $115.47
Individual & Child(ren) $817.68 $209.40
Individual & Adult $1,016.52 $259.11
Family $1,237.56 $314.37

Northern VA Rates

Type of Plan
Annual Cost
Quarterly*
Individual $441.96 $115.47
Individual & Child(ren) $817.68 $209.40
Individual & Adult $883.92 $225.96
Family $1,237.44 $314.34

* Includes a $4.98 administrative fee.

Coverage for Dependent Children

Dependent children are covered up to age 26.

Payment Options

Pay for your plan annually or quarterly. The first payment is required with the initial application.

  • Annual:  Pay the full amount of the annual cost when you submit the enrollment application.
  • Quarterly (4 payments):  Include the first quarterly payment when you submit the enrollment application.
    • Subsequent quarterly premiums are due on or before the 1st day of the month beginning the next quarter.
    • If the quarterly payment plan is selected, you must pay an additional $4.98 administration fee (included in the rates above) when you submit each of your 4 payment installments, totaling $19.92 per year.
  • After you are enrolled in the plan, you can sign up for reoccurring payments through eBilling via My Account. One time payments can also be made through eBilling. Credit, debit and ACH payments are accepted.1 Our service area includes the cities of Alexandria and Fairfax, the town of Vienna, Arlington County and the areas of Fairfax and Prince William counties in Virginia lying east of Route 123.

1 Northern Virginia includes the cities of Alexandria and Fairfax, the town of Vienna, Arlington County and the areas of Fairfax and Prince William counties in Virginia lying east of Route 123.

Apply To Enroll

Complete the Appropriate Enrollment Application and Send it to Us with Payment

Enrollment Applications:

Download and complete the application. Choose the annual or quarterly payment option.

Send in your application, with a check or money order for the exact payment amount of the premium to:

Mail Administrator
P.O. Box 14651
Lexington, KY 40512

Please Note: You must live in Maryland, the District of Columbia or the following areas of Northern Virginia: the city of Alexandria or Fairfax, the town of Vienna, Arlington County, or the areas of Fairfax and Prince William counties in Virginia lying east of Route 123.

We will mail you your membership card and a detailed information packet. Your coverage will be effective the first of the month following receipt of application and premium, if received by the 20th of the month.

Plan Resources

Use the links below to review your dental benefits and related costs and access the appropriate application:

Maryland
District of Columbia
Virginia
Individual Select Plan Comparison Chart Individual Select Plan Comparison Chart Individual Select Plan Comparison Chart
Brochure/Application Brochure/Application Brochure/Application

You may also access Find a Provider to find a participating dentist near you. Select the option for "Preferred Dental (PPO), DP is noted on your ID card".

Contact Us
For Questions About:
Contact Us At:
Hours:

Customer Service

  • Plan and Benefit Questions
  • Claims Questions
  • Finding a Dentist
  • Membership Card Requests
(866) 891-2802 Monday - Friday
8:30 a.m. - 5:15 p.m.

Sales

(410) 356-8000 or
(800) 544-8703
Monday - Friday
8:00 a.m. - 8:00 p.m.

Billing

(888) 892-9901 Monday - Friday
8:00 a.m. - 6:00 p.m.

Claims

(866) 891-2802

Send claims to:
Mail Administrator
PO Box 14115
Lexington, KY 40512-4115
Monday - Friday
8:30 a.m. - 5:15 p.m.

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