Individual Select Preferred Dental
| Coverage Type |
Annual Rate Full Annual Payment Due with Enrollment Application |
|
|
| Individual |
$151.44 |
| Individual & Child(ren) |
$280.20 |
| Individual & Adult |
$302.88 |
| Family |
$424.08 |
| Coverage Type |
Semi Annual Rate Second Payment Due by the 1st of the fifth month from the effective date of coverage |
|
1st Payment |
2nd Payment |
| Individual |
$80.72 |
$80.72 |
| Individual & Child(ren) |
$145.10 |
$145.10 |
| Individual & Adult |
$156.44 |
$156.44 |
| Family |
$217.04 |
$217.04 |
Please note that when selecting the semi-annual payment, a $5.00 administration fee is already included into each payment. You pay an additional $10/year when you select the semi-annual payment option. The first payment (of the semi-annual rate) is due with the enrollment application. The second payment is due by the 1st of the fifth month from the effective date of coverage.
Individual Select Dental HMO
| Coverage Type |
Annual Rate Full Annual Payment Due with Enrollment Application |
|
|
| Individual |
$120.00 |
| Individual & Child |
$204.00 |
| Individual & Adult |
$240.00 |
| Family |
$360.00 |
| Coverage Type |
Semi Annual Rate Second Payment Due by the 1st of the fifth month from the effective date of coverage |
|
1st Payment |
2nd Payment |
| Individual |
$65.00 |
$65.00 |
| Individual & Child |
$107.00 |
$107.00 |
| Individual & Adult |
$125.00 |
$125.00 |
| Family |
$185.00 |
$185.00 |
Please note that when selecting the semi-annual payment, a $5.00 administration fee is already included into each payment. You pay an additional $10/year when you select the semi-annual payment option. The first payment (of the semi-annual rate) is due with the enrollment application. The second payment is due by the 1st of the fifth month from the effective date of coverage.
CareFirst BlueCross BlueShield is the business name of Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. are independent licensees of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross and Blue Shield Association. ®´ Registered trademark of CareFirst of Maryland, Inc.
