Skip to main content
Previous
List
Next
 
Blue Cross Blue Shield FEP Dental logo
 
 
HOME
General links
BCBS FEP Dental home
Brochures home
Brochure contents
Cover Page
Introduction
Table of Contents
Changes for 2023
FEDVIP Program Highlights
Section 1 Eligibility
Section 2 Enrollment
Section 3 How You Obtain Care
Section 4 Your costs for Covered Services
Section 5 Dental Services and Supplies Class A Basic
Class B Intermediate
Class C Major
Class D Orthodontic
General Services
Section 6 International Services and Supplies
Section 7 General Exclusions - Things We Do Not Cover
Section 8 Claims Filing and Disputed Claims Process
Section 9 Definitions of Terms We Use in This Brochure
Discounts and Features
Summary of Benefits
Stop Health Care Fraud!
Rate Information
Rates
 

Blue Cross Blue Shield FEP Dental Brochure - 2023

 
 

 

Blue Cross Blue Shield FEP Dental
Rate Information

 

Rate Information

 

How to find your rate:
In the first chart below, look up your state or zip code to determine your rating area. In the second chart on the following page match your Rating Area to the enrollment type and plan option.

Premium Rating Areas by State/Zip Code (first three digits)

State: AK
Zip: Entire State
Rating Region: 5

State: AL
Zip: Entire State
Rating Region: 1

State: AR
Zip: Entire State
Rating Region: 2

State: AZ
Zip: 855, 859-860, 863-865
Rating Region: 2

State: AZ
Zip: 850-853
Rating Region: 3

State: AZ
Zip: Rest of State
Rating Region: 1

State: CA
Zip: 900-908, 910-928, 930-931, 933-935
Rating Region: 4

State: CA
Zip: 939-952, 954, 956-959
Rating Region: 5

State: CA
Zip: Rest of State
Rating Region: 2

State: CO
Zip: Entire State
Rating Region: 4

State: CT
Zip: 060-063
Rating Region: 5

State: CT
Zip: Rest of State
Rating Region: 4

State: DC
Zip: Entire Area
Rating Region: 3

State: DE
Zip: Entire State
Rating Region: 2

State: FL
Zip: 330-334, 349
Rating Region: 2

State: FL
Zip: Rest of State
Rating Region: 1

State: GA
Zip: Entire State
Rating Region: 1

State: GU
Zip: Entire Area
Rating Region: 1

State: HI
Zip: Entire State
Rating Region: 3

State: IA
Zip: 500-514, 516, 520-528
Rating Region: 3

State: IA
Zip: Rest of State
Rating Region: 2

State: ID
Zip: Entire State
Rating Region: 4

State: IL
Zip: 600-609, 613
Rating Region: 2

State: IL
Zip: 612
Rating Region: 3

State: IL
Zip: Rest of State
Rating Region: 1

State: IN
Zip: 463-464
Rating Region: 2

State: IN
Zip: Rest of State
Rating Region: 1

State: KS
Zip: 664-665, 667-679
Rating Region: 2

State: KS
Zip: Rest of State
Rating Region: 1

State: KY
Zip: Entire State
Rating Region: 1

State: LA
Zip: Entire State
Rating Region: 1

State: MA
Zip: 010-011, 013-027, 055
Rating Region: 5

State: MA
Zip: Rest of State
Rating Region: 3

State: MD
Zip: 205-212, 214, 216-217
Rating Region: 3

State: MD
Zip: Rest of State
Rating Region: 2

State: ME
Zip: 039-042
Rating Region: 5

State: ME
Zip: Rest of State
Rating Region: 2

State: MI
Zip: 480-485​​​​​​​
Rating Region: 2

State: MI
Zip: Rest of State
Rating Region: 1

State: MN
Zip: 550-551, 553-555, 563
Rating Region: 4

State: MN
Zip: Rest of State
Rating Region: 3

State: MO
Zip: 726
Rating Region: 2

State: MO
Zip: Rest of State
Rating Region: 1

State: MS
Zip: Entire State
Rating Region: 1

State: MT
Zip: Entire State
Rating Region: 1

State: NC
Zip: 270-274, 278, 280-282, 284-289​​​​​​​
Rating Region: 2

State: NC
Zip: 275-277, 283
Rating Region: 3

State: NC
Zip: Rest of State
Rating Region: 1

State: ND
Zip: Entire State
Rating Region: 5

State: NE
Zip: Entire State
Rating Region: 2

State: NH
Zip: 030-033, 038​​​​​​​
Rating Region: 5

State: NH
Zip: Rest of State
Rating Region: 3

State: NJ
Zip: 070-079, 085-089
Rating Region: 4

State: NJ
Zip: Rest of State
Rating Region: 2

State: NM
Zip: Entire State
Rating Region: 1

State: NV
Zip: 897
Rating Region: 5

State: NV
Zip: Rest of State
Rating Region: 2

State: NY
Zip: 120-123, 128​​​​​​​
Rating Region: 3

State: NY
Zip: 063
Rating Region: 5

State: NY
Zip: 005, 100-119, 124-126
Rating Region: 4

State: NY
Zip: Rest of State
Rating Region: 2

State: OH
Zip: Entire State
Rating Region: 1

State: OK
Zip: Entire State
Rating Region: 1

State: OR
Zip: 970-973
Rating Region: 4

State: OR
Zip: Rest of State
Rating Region: 2

State: PA
Zip: 180-181, 183​​​​​​​
Rating Region: 4

State: PA
Zip: 189-196​​​​​​​
Rating Region: 2

State: PA
Zip: 172-174
Rating Region: 3

State: PA
Zip: Rest of State
Rating Region: 1

State: PR
Zip: Entire Area
Rating Region: 1

State: RI
Zip: Entire State
Rating Region: 5

State: SC
Zip: Entire State
Rating Region: 2

State: SD
Zip: Entire State
Rating Region: 1

State: TN
Zip: Entire State​​​​​​​
Rating Region: 1

State: TX
Zip: Entire State​​​​​​​
Rating Region: 1

State: UT
Zip: Entire State
Rating Region: 2

State: VA
Zip: 201, 205, 220-227​​​​​​​
Rating Region: 3

State: VA
Zip: Rest of State
Rating Region: 1

State: VI
Zip: Entire Area
Rating Region: 1

State: VT
Zip: Entire State
Rating Region: 5

State: WA
Zip: 980-985
Rating Region: 5

State: WA
Zip: Rest of State
Rating Region: 4

State: WI
Zip: 540
Rating Region: 4

State: WI
Zip: Rest of State
Rating Region: 3

State: WV
Zip: 254
Rating Region: 3

State: WV
Zip: Rest of State
Rating Region: 1

State: WY
Zip: 834
Rating Region: 4

State: WY
Zip: Rest of State
Rating Region: 2

State: INTL
Zip: International
Rating Region: 1
​​​​​​​
​​​​​​​
​​​​​​​
 

© 2022 Blue Cross Blue Shield Association. All rights reserved.