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 BlueSelect Dental
 Now you can get individual
dental insurance.
Now with more choices. Get customized dental coverage:
- for you alone
- for your spouse alone
- for your children alone
- for any family members you choose
Your acceptance is GUARANTEED.
Call toll-free 1-866-473-2866 today for details.
Your health coverage isn't complete without a dental plan, no matter what benefits you have now. Complete your coverage with BlueSelect Dental.
Use BlueSelect Dental to add dental coverage to your current health plan, to complement existing BlueCross BlueShield health plans. Children age 19 and above may apply separately for dental coverage.*
If choosing the right dentist is important to you, take advantage of a statewide network of hundreds of dentists. BlueSelect Dental also includes dentists across the United States when you have travel. For up-to-date network information, visit our online provider directory.
BlueSelect Dental offers two coverage options, which are outlined in the chart below:
| BENEFITS |
OPTION 1 |
OPTION 2 |
| Annual benefit maximum (per person, per benefit period) |
$1,000 |
$1,000 |
- Oral examinations (two per year)
- Cleaning, scaling and polishing (two per year)
- Bitewing x-rays (two per year)
- Full mouth x-rays (one during a 60 month period)
- Fluoride application for children under age 19 (two per year)
- Space maintainers for children under age 19
- Sealants for children under age 14 (with some restrictions)
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BlueSelect Dental pays 100% of the cost of these procedures, with no waiting period, if received from an in-network dentist. |
BlueSelect Dental pays 100% of the cost of these procedures, with no waiting period, if received from an in-network dentist. |
- Fillings (except gold)
- Simple extractions
- Root canal treatment
- Extraction of impacted teeth
- Periodontic treatment of the gums (one scaling / root planing treatment per quadrant, per year)
- IV sedation or general anesthesia (when medically necessary for covered services)
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BlueSelect Dental pays 80% of these procedures, after a $50 deductible**, if received from an in-network dentist.
6-month waiting period. |
BlueSelect Dental pays 80% of these procedures, after a $50 deductible**, if received from an in-network dentist.
6-month waiting period. |
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- Inlays, onlays and crowns (not part of bridge)
- Veneers or similar properties of crowns and bridges placed on or replacing the 10 upper and lower front teeth
- Dentures and bridges
- Denture adjustments, relining and rebasing
- Fixed bridge repairs
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Not available. |
50% covered, after $200 deductible**, if received from an in-network dentist.
12-month waiting period. |
BlueSelect Dental are low-cost ways to complete health coverage for you and your family. Best of all, it's offered by Blue Cross and Blue Shield of Oklahoma the state's largest and most trusted private health insurer.
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MONTHLY RATES (effective Jan. 1, 2007) *** |
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OPTION 1 |
OPTION 2 |
| Child only (age 18 and under) |
$21.60 |
$25.30 |
| Adult (age 19 and over) |
$28.70 |
$33.80 |
| Adult and spouse |
$55.10 |
$66.70 |
| Adult, spouse and one child |
$76.70 |
$92.00 |
| Adult, spouse and two or more children |
$109.60 |
$130.90 |
| Adult and one child |
$50.30 |
$59.10 |
| Adult and two or more children |
$83.20 |
$98.00 |
No pre-existing condition limitations for covered services. No age requirements
* Applicants must be residents of the state of Oklahoma to apply for coverage. Members who currently have Blue Cross and Blue Shield of Oklahoma dental coverage are not eligible for individual dental coverage. Full information can be found, including benefits, costs, limitations, exclusions and eligibility requirements, in members' certificate of benefits. **Per person, per benefit period***Rates subject to change.
 Your acceptance is guaranteed for BlueSelect Dental.
Call toll-free to apply
1-866-473-2866
Or complete and submit a BlueSelect Dental application.
 Download & Print a BlueSelect Dental application
When complete, please mail or fax application to:
SeatonInsurance.com
10600 South Penn Suite 16 #104
Oklahoma City, OK 73170
Fax 405-793-0070
 Download the latest version free
SeatonInsurance.com
OKC Area 405-793-7892
Toll-Free 866-473-2866
Contact Us |
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