Anthem sells individual and family dental insurance, and its own pages describe two ways people get dental coverage: a medical plan that includes dental benefits, or a stand-alone dental plan bought from an insurer. Stand-alone plans can be bought at any time of the year, though availability varies by state. Anthem's Essential Choice PPO plans let you see any dentist or pay less at an in-network dentist, and Anthem says diagnostic and preventive care in network carries no deductible and no waiting period on those plans, with shorter waiting periods than traditional plans for basic, complex and major services. Family PPO plans cover pediatric essential health benefits, to different ages in different states. Anthem is a trade name used by different companies in different states. Confirm that Anthem sells dental plans in your state and that your dentist is in the PPO network before you enroll.
Before you book: verify anthem dental plans for individuals and families
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Confirm that Anthem sells dental plans in your state
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Compare the annual maximum on each plan
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Ask about waiting periods for the services you expect
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Check whether your dentist is in the PPO network
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Use the cost estimator, then ask the office for a written estimate
Two routes
Dental inside a medical plan, or a stand-alone plan
| Factor | Detail |
|---|---|
| Medical plan with dental | Convenient, but Anthem says it may have coverage limitations. Anthem also says some health plans have minimal or no dental benefits. |
| Stand-alone dental plan | More flexibility and more coverage options, per Anthem. It can be bought any time of the year, and availability varies by state. |
| Who Anthem is | Anthem Blue Cross and Blue Shield is a trade name used by different companies in different states, and Anthem's page lists them. |
| Discount plans | Anthem points out that a dental discount plan is not insurance. You pay the entire cost of care after a discount, and the plan pays nothing toward it. |
Anthem's comparison of its plans with discount plans is Anthem's own view. Check each product's terms before you decide.
The individual plans
Essential Choice PPO and Dental Family PPO
| Factor | Detail |
|---|---|
| Essential Choice PPO | Visit any dentist or pay less with an in-network dentist. Diagnostic and preventive care in network carries no deductible and no waiting period, and Anthem says waiting periods for basic, complex and major services are shorter than on traditional plans. |
| Dental Family PPO | Depending on the plan, benefits such as no waiting periods and no annual benefit limits for pediatric-age children. Anthem lists a low deductible and a high or no annual benefit maximum. |
| Pediatric benefits | Pediatric essential health benefits are covered for children up to age 18. Anthem lists age 20 in Kentucky and age 26 in Connecticut. |
| Higher maximums | Anthem says some plans offer higher annual benefit maximums. The figure differs by plan, so read the current schedule of benefits. |
Coverage levels
How Anthem describes what dental insurance covers
Anthem's coverage page says PPO plans typically use a coinsurance structure it calls 100/80/50: preventive care such as cleanings, exams and X-rays at the highest level, basic procedures such as fillings at a middle level and major procedures such as crowns and dentures at the lowest. It also notes that full coverage dental plans do not cover the whole cost of care, and that their coverage may include crowns, root canals, surgical extractions, dentures, implants, veneers and orthodontic treatments, depending on the plan. Anthem adds that some plans may offer services such as teeth whitening or composite fillings. Those items vary, so check the plan.
Anthem's page describes typical structures. Your own plan's percentages and exclusions are in the schedule of benefits.
Tools and networks
What members can use
| Factor | Detail |
|---|---|
| Cost estimator | Anthem's dental cost estimator uses your ZIP code to estimate costs. Treat the result as a prompt for a written estimate from the office. |
| Teledentistry | Anthem lists 24/7 virtual dental care among its member tools. |
| Ask a hygienist | Members can email a dental hygienist for personalized advice. |
| Network | You will often pay less when you visit a dentist in your plan's network, per Anthem. Networks vary by plan and by state. |
Where people get caught
Common surprises with an Anthem dental plan
Assuming Anthem sells dental plans in your state. Availability varies.
Choosing a plan by its coinsurance structure without checking the annual maximum
Expecting orthodontics, implants or dentures to be covered because the page lists them as possible
Forgetting that waiting periods still apply to basic, complex and major services on some plans, even where they are shorter
Using a cost estimator figure as a quote
Questions people ask
Common questions
01What kinds of dental plans does Anthem sell to individuals?
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Anthem's pages describe stand-alone dental plans, mainly PPO plans, including Essential Choice PPO and Dental Family PPO. You can buy a stand-alone plan at any time of the year. Availability varies by state, so check that Anthem sells dental coverage where you live before you compare plans.
02Is preventive care covered right away on Anthem plans?
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On the plans Anthem describes, diagnostic and preventive care in network carries no waiting period, and the Essential Choice PPO has no deductible for those services in network. Anthem says most of its plans cover exams, cleanings and X-rays at the highest level with no waiting period. Confirm this on the specific plan.
03Are there waiting periods for fillings, crowns and root canals?
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Some plans have them. Anthem says its Essential Choice PPO has shorter waiting periods than traditional plans for basic, complex and major services, which means they still exist. Some Dental Family PPO plans have no waiting periods. Check the specific plan and ask what happens to work started early.
04What does Anthem's 100/80/50 mean?
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It describes a common coinsurance structure. Anthem says PPO plans typically pay at the highest level for preventive care, a middle level for basic procedures such as fillings and the lowest level for major procedures such as crowns and dentures. Your own plan sets the actual percentages, and your deductible and annual maximum still apply.
05Does Anthem cover children's dental care?
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Anthem says its family plans cover pediatric essential health benefits for children up to age 18, with age 20 in Kentucky and age 26 in Connecticut. Depending on the plan, benefits may include no waiting periods and no annual limits for pediatric-age children. Check what your state and plan provide.
06Does Anthem cover orthodontics, implants and dentures?
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Anthem says full coverage dental plans may include them, depending on the plan, and that some plans cover braces and orthodontic treatment. Full coverage does not mean everything is paid in full. Ask for the schedule of benefits, the annual maximum and any waiting period for each service.
07How is a discount plan different from Anthem insurance?
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Anthem says discount plans are not insurance, you pay for the entire cost of care and the plan pays no part of it. Its PPO plans pay part of the cost of covered services. That is Anthem's own comparison, and discount plans can still suit some people, so compare the terms of each.
08Can I use Anthem's cost estimator as a quote?
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No. Anthem's dental cost estimator uses your ZIP code to give an estimate, which is not a binding figure. Use it to prepare questions, then ask the dental office for a written estimate and ask Anthem for a pretreatment determination before major work.
09Can I buy an Anthem dental plan at any time?
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Anthem says stand-alone or separate dental plans can be bought any time of the year, and that availability varies by state. That is different from many medical plans, which have enrollment periods. Check the start date of coverage and any waiting period, so the benefit is in place before you need it.
10Do all Anthem and Blue Cross plans work the same way?
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No. Anthem Blue Cross and Blue Shield is a trade name used by different companies in different states, and Anthem's page lists them. Plan names, networks, rules and benefits vary by state and by plan. Use the plan documents you actually hold, not a general description.
11What online tools does Anthem offer for dental members?
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Anthem lists 24/7 teledentistry, an option to email a dental hygienist for personalized advice, a dental cost estimator that uses your ZIP code and a dental health assessment. Treat the estimator as a prompt for questions, and ask the dental office for a written estimate before larger treatment.
12Does Anthem say anything about basic plans and full coverage plans?
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Yes. Its coverage page says most dental plans cover preventive care, that some also cover certain basic services at a higher out-of-pocket cost, and that full coverage plans do not pay the whole cost of care but cover a broader range of basic and major procedures. Compare the schedule of benefits for the level you are considering.
Related glossary terms
Sources
- Dental Insurance: Benefits and How It WorksAnthemAccessed 2026-09-24
- Individual Dental Insurance PlansAnthemAccessed 2026-09-24
- What Does Dental Insurance CoverAnthemAccessed 2026-09-24