DENTAL PLAN 2025 Benefits Guide | 12 Dental Summary of Benefits BLUE CROSS BLUE SHIELD OF MA DENTAL BLUE FREEDOM Benefits begin on June 1st but dental benefits are provided on a calendar year basis In-Network Annual Deductible $50 member / $150 family maximum Annual Maximum Benefits $1,500 / year per person Preventive Care (Cleanings and Exams) 100% Coverage; deductible does not apply to preventive services Basic Care (Fillings, Extractions, etc.) 80% Coverage* Major Care (Crowns, Implants, Dentures) 50% Coverage* Orthodontia 100% Coverage; deductible does not apply to orthodontia services Lifetime maximum of $2,000 per family member Accumulated Maximum Rollover If your claims do not exceed $700 during the plan year, BCBS will rollover $500 towards your calendar year maximum to use next year and beyond. The rollover balance is capped at $1,250 *after deductible Benefits are reduced by 20 percent when services are received from an out-of-network dentist