Blue Cross Blue Shield FEP Dental
Changes for 2026

 

Changes for 2026

 

2026 Changes:

Changes to the High and Standard option include:
For individuals over age 22, we added:
  • D1206 Topical application of fluoride varnish – Limit 2 during the calendar year (Class A)
The addition of a new dental code:
  • D6280 Implant maintenance procedures when a full arch removable implant/abutment supported denture is removed and reinserted, including cleansing of prosthesis and abutments – per arch – Limit 1 every 36 months (Class C)
Emergency exam services are no longer bundled:
  • D0140 Limited oral evaluation - problem focused - Limited to once per year (Class A)
  • D0160 Detailed and extensive oral evaluation - problem focused, by report - Limited to once per year (Class A)
An increase in co-insurance for anesthesia/sedation services and medications:

High Option:
  • In-Network – From 30% to 50%
  • Out-of-Network – From 40% to 60%
Standard Option:
  • In-Network – From 45% to 65%
  • Out of Network – From 60% to 80%

More Deals Available from changes to our Blue365® Program:
  • We now offer 100+ deals from popular vendors through Blue365, our discount program exclusively for Blue Cross Blue Shield members. From gym memberships to fresh meal kits and even travel deals—there's something for everyone in your family to thrive all year long. (See page 45)