Blue Cross Blue Shield FEP Dental Brochure - 2025
Blue Cross Blue Shield FEP Dental
Section 4 Your Cost for Covered Services
Section 4 Your Cost for Covered Services
Lifetime Benefit Maximum
The Lifetime Benefit Maximum is applicable to orthodontia benefits only. There are no other Lifetime Benefit Maximums under this Plan.
Lifetime Benefit Maximum
In-Network High Option: up to $3,500
In-Network Standard Option: up to $2,500
Out-of-Network High Option: up to $3,500
Out-of-Network Standard Option: up to $1,250
Lifetime Benefit Maximum
In-Network High Option: up to $3,500
In-Network Standard Option: up to $2,500
Out-of-Network High Option: up to $3,500
Out-of-Network Standard Option: up to $1,250