Boise State University Human Resource Services - Benefits

Insurance - Dental

  1. Eligibility
  2. Enrollment
  3. Waiting Periods
  4. Medical Insurance
  5. Dental Insurance
  6. Vision Insurance
  7. Health Insurance Premiums
  8. Mental Health, Substance Abuse and Employee Assistance Program (EAP) Benefits
  1. When Coverage Ends
  2. COBRA
  3. When You Retire
  4. Basic and Supplemental Life Insurance
  5. NCPERS
  6. Supplemental Insurance Programs
  7. Disability: Short and Long Term

Blue Cross of Idaho Dental Benefits BCI Traditional BCI PPO
Deductible (Per Person) $25 $25*
Preventive & Diagnostic:
Exams and cleanings, x-rays (once every 6 months)		 70% 80%
Basic: Fillings 70% 80%
Basic: Root Canals, Extractions, Periodontics 50% 80%
Major Services:
Crowns, Crown Build-ups, Bridges, Dentures		 50% 50%
Annual Maximum Benefit: $1000 $1000
Waiting Period for Major Services: 12 Months 12 Months
Child Orthodontic Services: 50% 50%
Orthodontic Lifetime Max: $1000 $1000
Waiting Period for Orthodontic Services: 12 Months 12 Months

*Deductible is not required for PPO diagnostic and preventive services.


Declination of Dental Insurance

Dependent dental coverage is available only if the dependents are also covered by the State medical plan. You may decline dental coverage for your family. To decline dental coverage for your family, employees must complete a Dental Declination form. The effective date is the first of the month following the declination. After declining, you may only add your family to dental coverage when there is an open enrollment for dental. There may be several years between open enrollment periods for dental.


Participating Providers

Blue Cross has two dental networks, PPO and Traditional. Your medical plan type does not have any bearing on the dental network. For example, an employee could be enrolled in the Traditional medical plan but their dentist could be part of the PPO dental network. Unlike the medical plan, you do not enroll in a specific dental network. The benefits will be paid at the level that the dentist participates. Eligible services provided by any dentist are covered whether or not the dentist is a participating or network dental provider with Blue Cross. However, by choosing an out-of-network or non-participating dental provider, the member will be responsible for the difference between what Blue Cross allows and what the dental provider charges in addition to any normal deductible or co-insurance.

To search for Blue Cross of Idaho network dentists, go to http://www.bcidaho.com/BCI_V2/prov_directory/prov_dir_index.aspx?id= and search in both the PPO and Traditional networks.


Contact Information

We recommend you contact the carrier prior to having any services performed.

General Information:

State of Idaho’s Office of Insurance Management, http://adm.idaho.gov/insurance/insurance.html

1-800-531-0597, 332-1860, ogi@adm.idaho.gov

Dental Plan:

Blue Cross of Idaho, http://bcidaho.com
Customer Service: 208-331-8897 or 1-866-804-2253