Anthem Blue Cross Dental & Root Canal Coverage — Sunnyvale Endodontist
Anthem Blue Cross dental PPO is common in California, especially among state employees and large employers. Anthem PPO plans provide out-of-network benefits based on the plan's Maximum Allowable Charge (MAC) for endodontic procedures.
How It Works
We verify your Anthem Blue Cross benefits, provide a clear written estimate, and submit the claim electronically after treatment. Anthem processes most claims within 2–3 weeks.
Typical Coverage
Anthem dental PPO plans typically cover root canals at 50–80% of MAC. Many California employer plans classify endodontic treatment as a 'Basic' service at 80% rather than a 'Major' service at 50%.
Tips for Anthem Blue Cross Dental Patients
- Ask whether your Anthem plan classifies root canals as Basic (80%) or Major (50%) — this makes a significant difference in your out-of-pocket cost
- State of California employees often have enhanced Anthem plans with higher annual maximums
Frequently Asked Questions
- Does Anthem Blue Cross dental cover out-of-network root canals?
- Yes. Anthem Blue Cross dental PPO covers root canals at out-of-network specialists. Reimbursement is based on the MAC for your area. We submit the claim for you.
Silicon Valley Endodontics & Microsurgery · 1565 Hollenbeck Ave, Suite 106, Sunnyvale, CA 94087 · (669) 234-2354