Blue Dental PPO Pediatric 80-50-50 PPO

Blue Cross Blue Shield of Michigan Mutual Insurance Company
Low
The Blue Dental PPO Pediatric 80-50-50 is a health plan issued by Blue Cross Blue Shield of Michigan Mutual Insurance Company for the year 2025. The plan is offered by the U.S. federal government through Healthcare.gov under the Affordable Care Act.

Overview

Plan issuer
Blue Cross Blue Shield of Michigan Mutual Insurance Company
Child-only offering
Allows Child-Only
Plan type
PPO

The Blue Dental PPO Pediatric 80-50-50 plan is a Preferred Provider Organization (PPO) plan. If you use providers in the plan's network, you will pay less. Out-of-network health providers can be used at an additional cost. You do not need a referral to see a specialist.

Metal level
Low

Low coverage level plans have lower premiums but higher copays and deductibles. This plan is suitable for tose who use fewer dental services. You pay less each month, but more when you use dental services.

Contact

Customer service number
1-888-288-2738
Toll-free customer service number
1-888-288-2738

Coverage

Adult

Routine dental services
No
Basic dental care
No
Major dental care
No
Orthodontics
No

Child

Routine dental check up
Yes
Basic dental care
Yes
Major dental care
Yes
Orthodontics
No

Deductible

Individual
Deductible
$25
Maximum out of pocket
$350
Family
Deductible
$75
Maximum out of pocket
$700
Family per person
Deductible
$25
Maximum out of pocket
$350

Copay and Coinsurance

Adult
Routine dental services
Not Covered
Basic dental care
Not Covered
Major dental care
Not Covered
Ortodontics
Not Covered
Child
Routine dental services
20%
Basic dental care
50% Coinsurance after deductible
Major dental care
50% Coinsurance after deductible
Ortodontics
Not Covered

Premium payment

The premium is the amount you pay for health insurance each month. This does not include other healthcare costs such as your deductible, copayments, and coinsurance.

Your premium depends on who is covered by the insurance and their ages. Generally, premiums increase if there are more people covered or if people covered are older.

Premium rates

Coverage Monthly premium Annual premium
Child (age 0-14) $25.52 $306.24
Child (age 18) $25.52 $306.24

Source

Our data is directly sourced from Healthcare.gov, the U.S. federal government's Health Insurance Marketplace®, created under the Affordable Care Act.