Loading...

Dental Option Plan Overview

For your dental health, you may elect coverage under the Scripps Dental Plan administered by Anthem Blue Cross. The plan offers you flexibility as to provider choice: you may go to any dentist, although in most cases you will pay less out-of-pocket costs if you use an Anthem Dental Complete Network dentist because network dentists have agreed to provide services at discounted or negotiated fees. Another advantage of using network providers — you don’t have to file claim forms.

To locate a participating provider, please click here.

To view the dental summary plan document, please click here.

The table below highlights the benefits available to you using either an Anthem Dental Complete Network Provider or all other providers.

PPO Dental

Feature Anthem Dental Complete Network Provider All Other Providers
Annual Deductible per Individual $50 (waived for diagnostic & preventive services) $100 (waived for diagnostic & preventive services)
Maximum Benefit per Year $1,800 per individual (excluding Orthodontia)
Diagnostic & Preventive Services
• Exams, cleanings and x-rays
100% * 90% **
Basic Services
• Oral Surgery, Extractions, Fillings
80% * 70% **
Major Services
• Crowns, bridges & dentures
50% * 40% **
Cosmetic Dentistry
• Dental implants only
N/A N/A
Orthodontic Services (no age limit)
$1,800 lifetime maximum per individual
50% * 50% **

Buy-Up PPO Dental

Feature Anthem Dental Complete Network Provider All Other Providers
Annual Deductible per Individual $50 (waived for diagnostic & preventive services) $100 (waived for diagnostic & preventive services)
Maximum Benefit per Year $2,200 per individual (excluding Orthodontia)
Diagnostic & Preventive Services
• Exams, cleanings and x-rays
100% * 90% **
Basic Services
• Oral Surgery, Extractions, Fillings
80% * 70% **
Major Services
• Crowns, bridges & dentures
60% * 50% **
Cosmetic Dentistry
• Dental implants only
60% * 50% **
Orthodontic Services (no age limit)
$2,000 lifetime maximum per individual
50% * 50% **

* Percentage applies to negotiated fees
** Percentage applies to usual, customary and reasonable charges