DENTAL PLAN Dental Blue Freedom In-Network& Out-of-Network Deductible $50 member / $150 family Calendar YearMax $1,500 / year PreventiveCare 100% Covered; deductible does not apply to preventive services BasicCare 85%Covered* MajorCare 55%Covered* Orthodontia 50% Covered for children up to age 19 up to the lifetime max of $1,500 Accumulated MaximumRollover 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 rolloverbalance is capped at $1,500 *afterdeductiblehas been met 11 // 2023 Employee BenefitGuide download: dental summary of benefits (SOB) visit: BCBS eKit