Dental Indemnity USA
Optional Dental Coverage
Dental Indemnity USA Plan
The Individual Dental plan is available as an optional benefit with your individual Blue Cross and Blue Shield of Texas insurance plan. There is an additional premium associated with this plan.
Some highlights of Dental Indemnity USA coverage:
- Coverage can be used to provide dental benefits to an individual, spouse, children or any combination of dependents.
- A $50 deductible, based on fee schedule allowances, applies for dental procedures or services received by a covered individual during each benefit year.
- Maximum deductible amount of $150 for family coverage.
- Deductibles do not apply to oral exams, cleanings, fluoride treatments, sealants and X-rays.
See the Dental Indemnity USA Outline of Coverage 
for more details on benefits and policies.
- You must enroll in a BCBSTX health plan in order to enroll in the dental plan (excluding SelecTemp PPO). You have up to 31 days from the effective date of your policy to enroll.
- All members on that health plan must be enrolled in Dental Indemnity USA.
- Once your dental plan is dropped for any reason, you cannot re-enroll unless you reapply for a new health insurance plan.
| Zip Codes 754-759, 764-769, 776-785, 788, 790-798 | |
|---|---|
| Member | $29.00 |
| Member + Spouse | $58.00 |
| Member + Child(ren) | $60.20 |
| Family | $100.80 |
| Zip Codes 733, 750-753, 760-763, 770, 772-775, 786-787, 789,799, 885 | |
| Member | $34.70 |
| Member + Spouse | $69.40 |
| Member + Child(ren) | $70.90 |
| Family | $119.50 |
There are three ways to enroll in Dental Indemnity USA:
- Select 'YES' next to the Dental option when you apply online for any qualifying Blue Cross and Blue Shield of Texas health insurance plan (excluding SelecTemp PPO).
- Call Blue Cross and Blue Shiled of Texas toll-free at (888) 672-2583 (Mon-Fri, 8 a.m. to 5 p.m. CT)
- Contact your local independent health insurance agent.
