Anthem DentalBlue Insurance

  1. Overview
  2. Publications
  3. Forms

Plan Overview


Note: This plan is not open to new enrollees for 2012 and will no longer be available in 2013. Employees wishing to have dental coverage should enroll in the Dental Wisconsin plan.

Description: The Anthem DentalBlue program offers three dental plans: Dentacare HMO, Preferred PPO, and the Supplemental Plan.  The HMO and PPO plans include coverage for diagnostic and preventive services; the Supplemental plan does not.  Copayments, deductible, benefits and provider restrictions vary among plans.  If you select the HMO plan, you must select a Dentacare Center.  All three plans provide a discount for orthodontia services received from a network provider.  There is a 3 month waiting period for basic and major services for the PPO and Supplemental plans.

Premiums

DentalBlue Premiums

Learn More

Providers

Vendor

Anthem Blue Cross and Blue Shield

Send questions to: benefits@ohr.wisc.edu

Forms


Note: Use Adobe Reader to open and complete PDF forms.
MAC Users: Do not use "Preview", a PDF reader.

Application | Submit to your Payroll & Benefits Office

Anthem Group DentalBlue Application for OSER/UW