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Farm Bureau Health Plans

Dental Care Plan

Perfect for individuals and families who need affordable dental benefits.

With our Dental Care Plan, individuals and families can get affordable financial protection for preventative services and routine exams. And with FBHP's Dental Care Plan, you'll be able to access a more extensive range of services over time.

Farm Bureau Health Plans uses UnitedHealthcare’s National Options PPO 30 Network. Please keep in mind that in-network payments are based on negotiated fees. If an out-of-network provider is used, the member’s liability will increase significantly.

Ready to enroll?

Benefits Available After 90 Days

Copayment

$15 copayment per examination-100% of maximum allowable charge

Benefits

  • Two routine periodic examinations in any 12-month period.
  • Bitewing X-rays once in every 12-month period.
  • Full mouth X-rays once in any 36-month period.
  • Topical fluoride application for members under age 19, once in any 12-month interval.
  • Prophylaxis and periodontal maintenance, not to exceed 2 per year.
  • Any combination of exams -- initial, periodic emergency or periodontal -- limited to 3 times in a 12-month period.
Benefits Available After 12 Months

Copyament

$15 copayment for each of the following services – 100% of the maximum allowable charge

Benefits

  • Sealants, only for occlusal (biting) surface of first and second permanent molar teeth on members under 16 years of age. Only 1 sealant benefit will be allowed on each tooth per lifetime of coverage. The copayment applies per tooth for this service.

Copayment

$25 copayment for each of the following services – 100% of the maximum allowable charge

Benefits

  • Emergency treatment for relief of pain.
  • Restorative services: filling material such as amalgam, synthetic porcelain and composite restorations--limited to 1 restoration per surface per tooth per year. The copayment applies per tooth for this service.
  • Oral surgery: provides for routine extractions (non-impacted), including pre- and post-operative care. The copayment applies per tooth for this service.
  • Repair of full and partial dentures after 12 month initial placement. The copayment applies per procedure – upper and lower dentures are considered separate procedures.
  • Stainless steel crowns. The copayment applies per tooth for this service.
  • Bridge repair after 6-month initial placement. The copayment applies per procedure.
  • Crown repair after 6-month initial placement. The copayment applies per procedure.

Copayment

$75 copayment for each of the following services - 100% of the maximum allowable charge

Benefits

  • Endodontics: root canal treatment. The copayment applies per tooth for this service.
  • Periodontics: treatment for diseases of the gums and bones supporting teeth. The copayment applies per procedure.
  • Surgical extractions (impactions). The copayment applies per tooth.
  • Space maintainers for members up to age 14. The copayment applies per procedure.
  • Relining and rebasing of full and partial dentures limited to 1 upper and 1 lower every 3 years. Separate copayments for upper and lower.
Benefits Available After 24 Months

Copayment

$75 copayment for each of the following services - 50% of the maximum allowable charge

Benefits

  • Full and partial upper and lower dentures. Separate copayments for upper and lower.
  • Benefits will be provided for any necessary adjustments for a 6-month period.
  • Initial placement of fixed and removable bridges by standard procedure. The copayment applies per tooth.
  • Cast crowns for treatment of severe carious lesions or severe fracture when the tooth cannot be restored with amalgam, synthetic porcelain or composite restorations. The copayment applies per tooth.
  • Cast inlays/onlays (copayment per tooth).
  • Laminate veneers (copayment per tooth).
Annual Maximum Benefit

Copayment

$1,500 per member

Provider Network

FBHP utilizes UnitedHealthcare’s National Options PPO 30 Network. This may not be a complete list of all providers. Once enrolled, you will have access to a complete list.

Schedule of Benefits

This schedule is intended to be used to help you compare coverage benefits and is a summary only.

Enroll today!

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For More Information, call

1-877-874-8323