Blue Shield of California's dental plans provide your clients with a variety of rate and benefit options, most with no waiting periods.1 Your clients can select coverage for all employees – even those not enrolled in our health plans.
Bundled savings – now provide a 10% specialty premium discount. Give your small business clients a 10% specialty discount! Anytime you add dental and/or vision to a new or existing small business client's medical coverage, a 10% discount will be applied to the dental and/or vision premiums. Learn more.
All of our group plans offer streamlined administration. This means one bill, one renewal and one point of administration for all of your clients' Blue Shield business. And, your clients can access and manage all of their coverage information through Employer Connection. With just a few simple clicks members can print or order dental ID cards, track claims, view their annual account balance or plan ahead with valuable treatment cost information.
A two-year initial rate guarantee for all new groups1 on their dental coverage, giving them added financial predictability for their budgeting and planning needs
Large dental network: The dental PPO plans include more than 47,000 provider locations in California and nearly 399,000 nationwide. The dental HMO network includes nearly 22,000 providers in California2.
Blue Shield members stay in the network because they have choice: Blue Shield’s network use is 70.7%; our DPPO Network average discount is 37.5%
Plan Choice: Mix and match – Choose a variety of plan combinations that make sense for your clients:
3 DHMOs (must be purchased with medical)
2 DHMOs and 1 DPPO (must be purchased with medical)
2 DPPOs and 1 DHMO (2 DPPOs must have the same ortho benefit and must be purchased with medical)
Coverage for Invisalign “invisible” clear braces (member is responsible for any costs over the amount of traditional braces)
Implants: Covered on SmileSM Deluxe 2000 50/2000/ No Ortho/MAC and SmileSM Deluxe Plus 2000 50/2000/Ortho/MAC DPPO plans.
Oral cancer screening benefit
Third cleaning for pregnant women and a third periodontal treatment if necessary
Dental coverage is available with or without Blue Shield medical coverage. Neither underwriting nor a DE-9C is required for dental coverage when written without Blue Shield medical coverage.
Pediatric dental benefits are included and embedded with medical plans. Pediatric dental benefits, are included within our small business medical plans. PPO, HSA and HMO medical plans and provide the same PPO dental coverage for pediatric dental benefits, but only PPO and HSA medical plans will offer coverage for pediatric dental benefits received from non-network providers, at non-network provider benefit levels. There is no coverage for non-network pediatric dental benefits in our HMO medical plans, except for emergencies. Dental and vision care are required essential health benefits (EHBs) under the Patient Protection and Affordable Care Act of 2010 (ACA) for children up to age 19. Learn more about the importance of early pediatric dental care.Learn more about the importance of pediatric dental care.
Contribution Requirements. A 50% contribution is required for all dental2 plans except Voluntary Dental plans; no employer contribution required.
1.. Excludes Dental Rollover plans which are closing March 31, 2019.
2. The Smile Basic Voluntary PPO plan has a 12-month waiting period for major services.
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Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Health plans are offered by Blue Shield of California.