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Freedom Blue PPO Choice Deluxe (PPO)

Highmark Blue Cross Blue Shield01
Contract H8166 · Plan 004 · CMS Plan Year 2025
4.0★CMS Stars
Annual Maximum Benefit
per calendar year
$2,500

Preventive Care

✓Oral Exams
✓Cleanings
✓X-Rays
✓Fluoride / Preventive

Basic & Restorative

✓FillingsYou pay 40%
✗Extractions
✓Root CanalsYou pay 40%
✓PeriodonticsYou pay 40%

Major Services

✓CrownsYou pay 40%
✓Dentures
✗Orthodontia

Dental Implants

✗ Implants Not Covered

This plan does not include dental implant coverage.

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 →