Yes
our Dental Plans give you a whole lot to smile about.
Horizon Family Grins
Bundle Horizon Family Grins with your medical plan adding comprehensive coverage for the entire family.
Features
- Deepest discounts across the state for eligible preventive, basic and major services.
- Access to Horizon BCBSNJ’s extensive PPO network.
- Orthodontic coverage for those under age 19 not meeting the medically necessary orthodontic criteria.
| Under 19 years | Over 19 years | ||
|---|---|---|---|
| Preventative/Diagnostic: Prophylaxis-Cleaning, Oral Exams, X-Rays | Free after deductible | Free after deductible |
|
| Preventative/Diagnostic: Sealant, Fluoride | Free after deductible | Not covered | |
| Restorative: Amalgam, Composite Fillings | 20% after deductible | Discount | |
| Restorative: Crowns/Inlays/Onlays | 50% after deductible | Discount | |
| Endodontics: Root Canal | 20% after deductible | Discount | |
| Periodontics: Periodontal Scaling, Root Planing, Maintenance | 20% after deductible | Discount | |
| Prosthodontics: Bridges, Dentures | 50% after deductible | Discount | |
| Oral Surgery: Non-Surgical, Surgical, Extraction of Teeth | 20% after deductible | Discount | |
| Orthodontics: Lifetime Maximum | $1,000 | Not covered | |
| Orthodontics: Medical Necessity | Covered 50% | Not covered | |
| Orthodontics: Cosmetic | Covered for those under age 19 | Not covered |
Horizon Family Grins Plus
Bundle Horizon Family Grins Plus with your medical plan adding comprehensive coverage for the entire family.
Features
- Plan provides In- and Out-of-network benefits for members over age 19.
- Access to Horizon BCBSNJ’s extensive PPO and National Grid Networks.
- Deepest discounts across the state for eligible preventive, basic and major services.
- Orthodontic coverage for those under age 19 not meeting the medically necessary orthodontic criteria.
| Under 19 years | Over 19 years In/Out of Network |
||
|---|---|---|---|
| Preventative/Diagnostic: Prophylaxis-Cleaning, Oral Exams, X-Rays | Free | Free |
|
| Preventative/Diagnostic: Sealant, Fluoride | Free | Not covered | |
| Restorative: Amalgam, Composite Fillings | 20% after deductible | 20% after deductible | |
| Restorative: Crowns/Inlays/Onlays | 50% after deductible | 50% after deductible | |
| Endodontics: Root Canal | 20% after deductible | 20% after deductible | |
| Periodontics: Periodontal Scaling, Root Planing, Maintenance | 20% after deductible | 20% after deductible | |
| Prosthodontics: Bridges, Dentures | 50% after deductible | 50% after deductible | |
| Oral Surgery: Non-Surgical, Surgical, Extraction of Teeth | 20% after deductible | 20% after deductible | |
| Orthodontics: Lifetime Maximum | $1,000 | Not covered | |
| Orthodontics: Medical Necessity | Covered 50% | Not covered | |
| Orthodontics: Cosmetic | Covered for those under age 19 | Not covered | |
Horizon Young Grins
Add Horizon Young Grins (pediatric essential health benefit) to any of Horizon’s medical plans. Only those under the age of 19 are eligible for benefits.
Features
- Comprehensive benefit plan for those members under 19, including medically necessary orthodontics.
- Access to Horizon BCBSNJ’s extensive PPO network.
- Designed for members under 19.
| Preventative/Diagnostic: Prophylaxis-Cleaning, Sealant, Fluoride, Oral Exams, X-Rays | Free after deductible |
|
| Restorative: Amalgam, Composite Fillings | 20% after deductible | |
| Restorative: Crowns/Inlays/Onlays | 50% after deductible | |
| Endodontics: Root Canal | 20% after deductible | |
| Periodontics: Periodontal Scaling, Root Planing, Maintenance | 20% after deductible | |
| Prosthodontics: Bridges, Dentures | 50% after deductible | |
| Oral Surgery: Non-Surgical, Surgical, Extraction of Teeth | 20% after deductible | |
| Orthodontics: Lifetime Maximum | None | |
| Orthodontics: Medical Necessity | Covered 50% | |
| Orthodontics: Cosmetic | Not Covered |
Horizon Centurion Dental
Maximize your savings with Horizon Centurion Dental (Horizon’s Discount Only Plan). Members receive discounts on covered services when they receive care from a PPO Network dentist.
Features
- Our lowest-cost dental program (as low as $5/month).
- Members must utilize a Horizon PPO provider.
- Deepest discounts in the state for eligible preventive, basic, and major services.
| Preventative/Diagnostic: Prophylaxis-Cleaning, Fluoride, Sealant ,Oral Exams, X-Rays | Discount |
|
| Restorative: Amalgam, Composite Fillings | Discount | |
| Restorative: Crowns/Inlays/Onlays | Discount | |
| Endodontics: Root Canal | Discount | |
| Periodontics: Periodontal Scaling, Root Planing, Maintenance | Discount | |
| Prosthodontics: Bridges, Dentures | Discount | |
| Oral Surgery: Non-Surgical, Surgical, Extraction of Teeth | Discount | |
| Orthodontics: Lifetime Maximum | Not covered | |
| Orthodontics: Medical Necessity | Not covered | |
| Orthodontics: Cosmetic | Not covered |
Horizon Healthy Smiles
Horizon Healthy Smiles plan offers comprehensive dental coverage at an affordable price.
Features
- Access to Horizon BCBSNJ’s extensive PPO and National GRID Networks.
- No out-of-network benefits.
- Flexible benefit options at an affordable price.
| Under 19 years | Over 19 years | ||
|---|---|---|---|
| Preventative/Diagnostic: Prophylaxis-Cleaning, Fluoride, Sealant, Oral Exams, X-Rays | Free | 20% |
|
| Restorative: Amalgam, Composite Fillings | 20% after deductible | 20% after deductible | |
| Restorative: Crowns/Inlays/Onlays | 50% after deductible | 50% after deductible | |
| Endodontics: Root Canal | 50% after deductible | 50% after deductible | |
| Periodontics: Periodontal Scaling, Root Planing, Maintenance | 50% after deductible | 50% after deductible | |
| Prosthodontics: Bridges, Dentures | 50% after deductible | 50% after deductible | |
| Oral Surgery: Non-Surgical, Surgical, Extraction of Teeth | 50% after deductible | 50% after deductible | |
| Orthodontics: Lifetime Maximum | $1,000 | $1,000 | |
| Orthodontics: Medical Necessity | Not covered | Not covered | |
| Orthodontics: Cosmetic | Covered for those under 19 years | Not covered for those over 19 years |
Horizon Healthy Smiles Plus
Horizon Healthy Smiles Plus plan offers comprehensive dental coverage at an affordable price. (Not an ACA-compliant plan)
Features
- Access to Horizon BCBSNJ’s extensive PPO, Traditional and National GRID plus networks.
- No out-of-network benefits.
- Flexible benefit options at an affordable price.
| Under 19 years | Over 19 years | ||
|---|---|---|---|
| Preventative/Diagnostic: Prophylaxis-Cleaning, Fluoride, Sealant, Oral Exams, X-Rays | Free | 20% |
|
| Restorative: Amalgam, Composite Fillings | 20% after deductible | 50% after deductible | |
| Restorative: Crowns/Inlays/Onlays | 50% after deductible | 50% after deductible | |
| Endodontics: Root Canal | 50% after deductible | 50% after deductible | |
| Periodontics: Periodontal Scaling, Root Planing, Maintenance | 50% after deductible | 50% after deductible | |
| Prosthodontics: Bridges, Dentures | 50% after deductible | 50% after deductible | |
| Oral Surgery: Non-Surgical, Surgical, Extraction of Teeth | 50% after deductible | 50% after deductible | |
| Orthodontics: Lifetime Maximum | $1,000 | $1,000 | |
| Orthodontics: Medical Necessity | Not covered | Not covered | |
| Orthodontics: Cosmetic | Covered for those under 19 years | Not covered for those over 19 years |
Horizon Individual Dental
Access convenient and comprehensive dental coverage at a low-cost. Choose a primary care dentist from Horizon’s Dental Choice Network where you can access all of your dental care within one office location.
Features
- No annual maximums or deductibles.
- Preventive and diagnostic eligible services covered at 100%.
- Low annual cost (as low as $15/month).
| Preventative/Diagnostic: Prophylaxis-Cleaning, Fluoride, Sealant ,Oral Exams, X-Rays | Free |
|
| Restorative: Amalgam, Composite Fillings | Free | |
| Restorative: Crowns/Inlays/Onlays | 30% / 40% / 50% | |
| Endodontics: Root Canal | 30% / 40% / 50% | |
| Periodontics: Periodontal Scaling, Root Planing, Maintenance | 30% / 40% / 50% | |
| Prosthodontics: Bridges, Dentures | 30% / 40% / 50% | |
| Oral Surgery: Non-Surgical, Surgical, Extraction of Teeth | 30% / 40% / 50% | |
| Orthodontics: Lifetime Maximum | Not covered | |
| Orthodontics: Medical Necessity | Not covered | |
| Orthodontics: Cosmetic | Not covered |
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