| Basic 100 |
Essential 100 |
Essential 200 |
|
| Adult (19-65): | $17.00 | $20.00 | $28.50 |
| Child (0-18): | $12.00 | $14.00 | $20.00 |
Applicants who meet the following guidelines are eligible to apply for Anthem Blue Cross and Blue Shield Blue Access Indiana health insurance coverage:
To be included in a Dental Blue policy issued to an adult, children (up to the end of the month in which they turn age 25) must meet the following qualifications:
Married (new) or unmarried son or daughter; unmarried stepchild; unmarried child subject to legal guardianship; married stepchild/married child subject to legal guardianship/married or unmarried grandchild or other blood relative for whom the subscriber or policyholder provides more than 50% support
If a child does not meet these qualifications, one can still purchase a stand-alone Dental Blue policy for the child.
Enrollment restrictions apply when Anthem Dental Blue coverage is purchased in conjunction with Anthem health insurance. These enrollment rules do not apply when Dental Blue is purchased "stand alone."
In order for family members, including spouse, to be eligible for Dental Blue coverage, the subscriber must sign up for the benefit. In addition, either all or none of the dependent children must enroll in the dental plan.