Ohio Dental Insurance


Affordable Dental Insurance in Ohio

Ohio Dental Care

Anthem’s Dental Blue

Anthem wants to provide you with the most affordable way to receive your dental needs. They have made it possible by providing the Dental Blue plans, which include:

    - No deductibles for preventive and diagnostic services such as cleaning, exams and e-rays
    - No waiting periods for preventive and diagnostic or minor restorative services
    - Discounts on popular services like teeth whitening and orthodontia
    - Access to specialists without referrals
    - Discounted fees after members reach their annual maximum or before meeting their waiting period

We can look at these plans in more detail upon reviewing the three different options offered by Anthem Dental Blue.

The first option is the Dental Blue Basic 100 plan. The Basic 100 plan covers 100% of the cost for diagnostic and preventive services (routine check-ups, cleanings, x-rays, fluoride applications), and after a $50 deductible will cover 80% of the cost for minor restorative dental services (fillings - including composites and space maintainers). The monthly rates vary according to age and state; residents of Ohio ages 0-18 years (children) would receive a monthly rate of $14.50 for this plan and residents who are 19-64 years (adults) would receive a monthly rate of $20.50. Upon choosing this plan you would receive access to all of the dentists who are available within the Dental Blue 100 network.

The second option of dental coverage is the Dental Blue Essential 100 plan. Upon choosing the Essential 100 plan 100% of diagnostic and preventive services would be covered (routine check-ups, cleaning, x-rays, fluoride applications and space maintainers), and after a $50 deductible minor restorative dental services (filling and simple extractions) would be covered. The monthly rate for children is $17.50 and for adults is $24.50. With this plan, major restorative dental services (oral surgery; prosthodontics – crowns, bridges, and dentures; endodontics – root canals; and periodontics – scaling and root planning) are covered according to the pre-determined rate after the payment of a $50 deductible.

The coverage received under the Dental Blue Essential 100 plan is also available in the Dental Blue Essential 200 plan. However, the Essential 200 plan will offer you a wider variety of dentist care professionals. Upon choosing the Essential 200 plan for a child the monthly rate comes to $23.00; for adults the monthly rate is $33.00.

After reviewing the options that Anthem’s Dental Blue plans have to offer let’s look at the cost-efficiency of each plan.

  • By choosing either of the 100 plans (Basic 100 or Essential 100) you have access to the dentists within the 100 network. If the dentist you prefer is in the 100 network, either of these plans would be the most cost-efficient for you. If you prefer a dentist within the 100 network, the cost-efficiency will depend upon your specific dental needs. Choose what works best for you.
  • If you prefer a dentist who is only within the 200 network, it would be cost-efficient for you to choose the Essential 200 plan.

Click here to download Anthem Dental Insurance Application Form

Independent Authorized Agent for Anthem Blue Cross and Blue Shield

As an industry leader serving over 88 million Americans, Anthem Blue Cross and Blue Shield is committed to providing you with access to health care through a broad array of products that provide positive health care solutions and a high-quality customer experience. We strive to not just meet your needs, but to exceed them.

As an Anthem member, you'll have access to:

  • One of the largest networks of doctors and hospitals tri-state that includes deep discounts, stability and nationwide access to providers.
  • Coverage Anywhere! Through Anthem's BlueCard® program, rest assured that we've got you covered around the country, around the world!
  • Online tools such as MyAnthem to help you view and manage your health care benefits any time, day or night.
  • Member discounts through Special Offers@Anthem which includes discounts on health related products and services from weight loss to Lasik vision correction.

Choose the carrier that has been serving residents of Indiana, Kentucky, Ohio, Missouri and Wisconsin for over 60 years. Covering one in three Americans, trust the Blue Cross and Blue Shield name to protect you too!

*Application must be completed in one session.

For more information, you can contact the Authorized Agent of this site:

ONE SOURCE BENEFITS LLC
Phone: 877-549-1212
Fax: 206-350-7145
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Comprehensive Dental Benefits for you and your Family

Choose a Dental Blue plan

Regular dental check-ups and cleanings are important to your overall health. That’s why we give you the option of adding one of our Dental Blue plans to your Anthem health coverage.

  • Dental Blue Basic 100: Provides coverage for the basics, including routine dental check-ups and fillings. If your dental needs are simple, this may be the right plan for you.
  • Dental Blue Essential 100: Includes coverage for the basics, plus services like crowns, bridges, root canals and dentures. If you think you may need a plan that offers more comprehensive benefits, this is the right plan for you.
  • Dental Blue Essential 200: Has basically the same coverage as Dental Blue Essential 100 but gives you wider choice of network dentists in exchange for a slightly higher cost. If your favorite dentist is in our larger network, this plan may be the best choice for you.

Save more by using our Dental Blue networks

While all three Dental Blue plans allow you to go to any dentist, you’ll save the most money when choosing a dentist from your plan’s dental provider network. There are two Dental Blue networks:

  • Dental Blue 100 network: This is the value network for our Dental Blue 100 plans. Dental Blue Basic 100 and Essential 100 members can save the most on dental care when they choose a dentist from this network.
  • Dental Blue 200 network: Includes the entire 100 network plus even more choices of dentists and specialists. Dental Blue Essential 200 members can save the most on dental care when they choose a dentist from this network.
Ohio Dental Insert rates


Choosing a dentist. You have the freedom to visit any dental provider. However, your dentist choice can make a difference in the amount you pay. The choice is yours!

Dental Blue Basic 100 and Dental Blue Essential 100 – Using a dentist in the 100 network will be your most cost-effective option. If you choose a dentist in the 200 or 300 networks, you will still receive a discount on services.

Dental Blue Essential 200 – Using a dentist in the 100 or 200 networks will be your most cost-effective option. If you choose a dentist in the 300 network, you will still receive a discount on services.

How to Find a Dental Blue Provider

Go to anthem.com

Filing a claim. Claims should be submitted to Anthem Dental P.O. Box 9274, Oxnard CA 93031-9274.

Limitations & Exclusions

Limitations
This is a partial list of plan limitations. Please see the Individual Dental Plan Contract for a complete list. Note that some of these benefits may not be covered under the Dental Blue Basic 100 plan.

Oral Evaluations Limited to two per calendar year.

Prophylaxis or Periodontal Prophylaxis Limited to two treatments per calendar year.

Fluoride Fluoride treatment limited to two per calendar year children up to age 19.

X-rays Limited to one set of full-mouth X-rays or its equivalent in a five-year period. Periapical X-rays are limited to 4 films per year.

Bitewing X-rays Limited to one set of up to 4 films twice per calendar year.

Sealants Limited to children under 16 years of age for permanent unrestored first and second molars. Treatment is limited to one application per tooth per lifetime.

Space Maintainers Limited to once per quadrant per lifetime for children up to age 16. Includes all adjustments within six months of placement.

Restorations Limited to once per surface per tooth every 24 months.

Periodontal Scaling Limited to once per quadrant every 24 months.

Periodontal Surgery Limited to one time per quadrant in a 36-month period.

Root Canal Therapy Limited to one treatment per tooth for initial treatment and one retreatment per tooth — for permanent teeth only.

Stainless Steel Crowns Limited to primary teeth only. Once per tooth in any five years.

Crowns Limited to once per tooth in any five years

Removable Complete and Partial Dentures Limited to once in five years. Benefits are payable for either complete or immediate dentures, but not both.

General Anesthesia Covered only when used in conjunction with covered oral surgical procedures.

Exclusions

This is a partial listing of plan exclusions. Please see the Individual Dental Plan Contract for a complete list. Prescribed drugs, pre-medication or analgesia including charges for nitrous oxide or any similar local anesthetic when the charge is made separately • Occlusal guards • Bleaching of non-vital discolored teeth • Crown buildups on the same tooth as an amalgam or composite restoration that was done within the same Calendar Year • Procedures to alter, restore or maintain occlusion, change vertical dimension, and replace or stabilize tooth structure lost by attrition, abrasion, erosion or bruxism • Harmful habit appliances • Services related to diagnosis or treatment related to the temporomandibular joint (TMJ) • Dental implants and all adjunctive services performed in conjunction with the placement or removal of implants including but not limited to surgery, cleanings, maintenance and prosthetics placed on implants • Infection control procedures, if billed separately • Precision attachments • Prefabricated resin crown or stainless steel crown with resin window • Pulpotomy on permanent teeth • Replacement of a prosthodontic appliance (fixed or removable) more often than once in any five-year period , whether under this contract or under any prior dental coverage • Root canal therapy on deciduous teeth • Sealants on restored teeth (occlusal surface) • Temporary/interim prosthodontia or appliances (temporary crowns, bridges, partials, dentures, etc.) • Biopsies • Services or supplies not specifically listed in the Covered Services section of the Individual Dental Contract.

Medical Mutual

Apply online for Dental Insurance, simply click on the carrier of your choice and you will be automatically directed to the online application.

DP DentalPlan

DP DentalPlan is a discount dental plan provider that makes it possible for you to receive dental care without paying the full cost. DP DentalPlan will provide you with the largest network of dentists, giving you more options for the discount dental care program that fits your lifestyle.

Upon choosing DP DentalPlan as your own, you will be provided with over 30 different discount dental plans that could help you cover your dental care needs. Varying according to your dental care needs, you could save 10% to 60% on almost any dental procedure.

Considering Dental Insurance? Think Dental Insurance is unnecessary? Read the statistics below and decide for yourself.

Ohio Dental Insurance
  • 32% of Americans site bad breath as the least attractive trait of their co-workers
  • 38.5 total days spent brushing teeth over a lifetime
  • 73% of Americans would rather go grocery shopping than floss
  • 60% of people don't know that a sore jaw, when combined with chest pain can signal a heart attack - especially in women
  • Dentists have recommended that a toothbrush be kept at least 6 feet away from a toilet to avoid airborne particles landing on it when the toilet is flushed
  • Toothpick is the object most commonly choken on
  • Drink 3 or more sugary sodas a day? You have 62% more dental decay, fillings and tooth loss than someone who drinks less than that
  • 51,000,000 school hours are lost each year due to dental related illnesses
  • $500,000,000.00 spent on gum by people under the age of 18 each year
  • The average person only brushes for 45-70 seconds a day versus the recommended time of 2-3 minutes
  • Women smile on average 62 times per day
  • Men smile on average 8 times per day
  • Kids laugh about 400 times per day
  • Adults laugh about 15 times per day
  • Did you smile in your school yearbook photo? You are more likely to have successful careers and marriages
  • 50% of people consider the smile the first facial feature they notice
  • 80% or people are not happy with their smile
  • Those who responded to this survey were 7 times more likely to have smile enhancement procedures than facelifts

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HumanaOne

HumanaOne offers two different dental plans to help individuals cover their dental care needs: Dental Preventative Plus Plan (PPO) and Dental C550 Plan (Pre-paid).

Preventative Plus (PPO) covers your everyday dental care needs that can be provided by dentists within or outside of the network. For this particular dental care plan HumanaOne provides over 130,000 dentist locations nationwide to choose from, allowing you to receive affordable dental care.

The PPO plan has three general areas of service: preventive, basic and discount.

  • Preventative services include oral and periodontal examinations, x-rays, cleaning, topical fluoride treatment and sealants. When you choose a dentist within this plan’s network 100% of the cost is covered; there is no deductible.
  • Emergency pain relief care, extractions and root removal, fillings, space maintainers, oral surgery and prefabricated stainless steel crowns are included in this area of basic services. For any of the basic care services 50% of your dental care costs are covered after the deductible.
  • When choosing to receive your dental care from within the available network, many of your dental care needs can be received at a discount. These services include: periodontics, root canals, crowns, implants, bridgework, dentures, denture relines and rebases, denture repair and adjustments, inlays and onlays, and appliances for children. Upon using any of these services within this plan you will receive an average discount of 28%.

Simply put, if you choose the PPO plan you will be paying low deductibles and will have no co-payments.

On the other hand, you have the option of the Dental C550 Plan (Pre-paid). Upon choosing the C550 plan you will receive the same type of care as you would having chosen the PPO plan; however, there will be no deductibles while you will have co-payments. Because the C550 plan requires a more direct connection between you and your dentist (in regards to how the payment will be made), your dentist will be part of a more intimate network. In other words, there is a smaller group of dentists to choose from – 5,000 dentists nationwide.

What do you think? Let us know!


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