Above for quotes Nationwide

Below form is for California only

Anthem Blue Cross Dental Blue Insurance   
(877)566-5454 Toll Free
Anthem Blue Cross OF CALIFORNIA INDIVIDUAL DENTAL BLUE HIGHLIGHTS
DENTAL SERVICE
(In Network)
100 Basic
200 Essential
100 Plus
200 Plus
Annual Deductible (single/family) $25 $50/$150 $50/$150 $50/$150
Waived for Preventive &
Diagnostic Services		 Yes Yes Yes Yes
Annual Maximum $500 $1000 $1000 $1000
Preventive &
Diagnostic Services		 100%
(cleanings, exams, X-rays, sealents, space mantainers)		 100%
(cleanings, exams, X-rays, sealents, space mantainers)		 100%
(cleanings, exams, X-rays, sealents) 		 100%
(cleanings, exams, X-rays, sealents) 
Basic Services 80% - Fillings
50% - (Stainless steel crowns, pulpotomies)		 Fee Schedule * 80%
(Fillings, space maintainers)		 80%
(Fillings, space maintainers)
Major Services Not covered Fee Schedule * 50%
(oral surgery, endodontics, periodontics, prosthodontics)		 50%
(oral surgery, endodontics, periodontics, prosthodontics)
Orthodontics Not covered Not covered Not covered Not covered
Waiting Periods for Services None 3 months for Basic
12 months for Major Services		 6 months for Major Services 3 months for Basic
12 months for Major Services

 * For fee schedule, see certificate of coverage.

  Download Your Dental Blue Brochure/Application  

DOWNLOAD YOUR DENTAL BLUE APPLICATION

Anthem Blue Cross Dentist Database

Or you can fill in this form to have your Anthem Blue Cross Dental Blue Dental Insurance brochure with pricing & application mailed to you. Further information on our plans is shown below. Or just call us Toll-free at 1-877-Look4Life (1-877-566-5454).
Customer Information
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E-mail
Street Address
City
County
State
Zip Code
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FAX
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People Covered

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Barricks Insurance Services
13900 NW Passage #302, Marina Del Rey, CA 90292
Phone:   (310) 827-7286    |   Fax:   (310) 827-0256
Toll-Free 1-877-Look4Life  (1-877-566-5454)

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