DENTAL BLUE® PPO > Greater Access> More Flexibility> Always – Quality Care Dental coverage plays an important role in your overall heath and well-being. Regular dental check-ups can help in the early detection of other health-related issues. In fact, according to the American Academy of Periodontology, gum and tooth diseases have been linked to a number of major health problems like heart disease, stroke, respiratory disease and diabetes.

Your employer recognizes the significance of good oral health. That is why they chose Dental Blue 200, offering you the flexibility of using your dental benefits in the way that is best for your needs.

Dental Blue 200. More reasons to smile.

Dental Blue 200

Greater Access

Anthem Blue Cross and Blue Shield realizes that it can be difficult

to change your dentist or dental plan – that is why we built the

Dental Blue PPO network – two network tiers that together

represent one of the nation’s largest PPO networks .

There is a strong likelihood that your dentist is in a Dental Blue

network tier because we cover 150,000 dental locations nationally.

The Dental Blue 200 network tier provides access to 100,000

locations allowing you greater access to more dental providers

and increased flexibility in managing your dental benefits.

More Flexibility

Visiting a dentist in your Dental Blue 200 network tier enables

you to receive the greatest cost savings. However, if your

dentist is in the 300 network tier, you will still have the

advantage of the Dental Blue negotiated rates through your

out-of-pocket costs may be slightly higher.

Dental Blue 200 - How it Works

The chart below illustrates the cost differences between the

Dental Blue 200 and 300 base network tiers – these are only

examples and the plan your employer has selected may vary.

Example: Joann is enrolled in Dental Blue 200 and visits her

dentist for preventative services (exam, cleaning, x-rays).

Joann does not have a deductible for preventive services,

which means the plan covers 100% of the cost.

What the If Joann Sees A Dentist In: Plan Pays Joann Pays

Dental Blue 200 $243 $0

Dental Blue 300 $243 $30

Joann will save the most by visiting a Dental Blue 200 dentist

but will still have significant savings if her dentist is in the

Dental Blue 300 network tier.

Always – Quality Care

All Dental Blue dentists are credentialed providers. Our

contracted specialists – like oral surgeons and periodontists –

participate in both Dental Blue network tiers.

Additionally, all Dental Blue plans offer the following important

advantages:

> Access to negotiated discounts for non-covered services such as teeth whitening > Access to negotiated discounts after your annual maximum has been met

How to Find a Dental Blue Provider

1. Go to anthem.com and select find a doctor 2. Select the state in which you are seeking services 3. in the plan drop-down box, select only dental blue 200 4. Under select provider type, choose dental blue 200 for maximum savings. You can broaden your search by selecting all dental blue providers 5. Now, you may select a specialist if needed, then click next 6. Enter your search criteria 7. Click view results

In Indiana: Anthem Blue Cross and Blue Shield is a trade name of Anthem Insurance Companies, Inc. In Kentucky: Anthem Blue Cross and Blue Shield is the

trade name of Anthem Health Plans of Kentucky, Inc. In Missouri: Anthem Blue Cross and Blue Shield is the trade name RightCHOICE® Managed Care, Inc. (RIT),

Healthy Alliance® Life Insurance Company (HALIC) and HMO Missouri, Inc. used to do business in most of Missouri. RIT and certain affiliates administer non-

HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-

funded plans and do not underwrite benefits. In Ohio: Anthem Blue Cross and Blue Shield is the trade name of Community Insurance Company. In Wisconsin:

Blue Cross Blue Shield of Wisconsin (“BCBSWi”) underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation

(“Compcare”) underwrites or administers the HMO policies; and Compcare and BCBSWi collectively underwrite or administer the POS policies. Independent

licensees of the Blue Cross and Blue Shield Association®. Blue Cross and Blue Shield are registered marks of the Blue Cross and Blue Shield Association.

* Projected national dental providers

Choice. Flexibility. Quality Care.

> Sign up today and put the power of the Dental Blue

network to work for you.

> To enroll select “Dental Blue” and “200” in the dental coverage section of your benefit enrollment form.