PlanMyDental

BlueAdvantage Sapphire (PPO)

BlueCross BlueShield of Tennessee01
Contract H7917 · Plan 038 · CMS Plan Year 2025
4.0★CMS Stars
Annual Maximum Benefit
per calendar year
$2,750

Preventive Care

Oral Exams
Cleanings
X-Rays
Fluoride / Preventive

Basic & Restorative

Fillings
Extractions
Root Canals
Periodontics

Major Services

Crowns
Dentures
Orthodontia

Dental Implants

⚠ Limited Implant Coverage

Implant supported prothesis (limited to 1 per 60 months)Surgical placement of implant (1 per tooth per lifetime)

Coverage varies — verify implant benefits directly with the carrier before enrolling.

Available In

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Data source: CMS Plan Benefit Package 2025 · Verify on Medicare.gov →