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 Maximum is applicable to Orthodontia benefits only. There are no other lifetime maximums under this Plan.
Lifetime Orthodontic 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 Orthodontic 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