The following benefit summaries for Blue Shield family dental plans are effective January 1, 2020, and must be accompanied by the Important Legal Information Booklet (PDF, 2.9MB), Spanish (PDF, 2.9MB), when presented to your clients. These dental plans can be purchased with a Blue Shield health plan or on their own.
The waiting period for new members enrolling in any Blue Shield IFP Dental plan with effective dates on or after January 1, 2020, will be waived, provided the new member can submit documentation of prior coverage from any dental carrier that meets the following criteria:
Any of the following documents may be used as long as it shows the above criteria have been met:
The best way for you to submit a waiver request is by emailing it to Producer Services at producer.services@blueshieldca.com. You can mail it to Blue Shield of California. P.O. Box 272540, Chico, CA 95927.
Plan name | Benefit summaries |
---|---|
Dental PPO | |
Specialty DuoSM Dental | |
Enhanced Dental PPO 25/500 | |
Enhanced Dental PPO 50/1250 | |
Enhanced Dental PPO 50/2000 | |
Enhanced Dental PPO 50/2000/Lifetime Ortho 1500 |
Plan name | Benefit summaries |
---|---|
DMHC Disclosure |
English (PDF, 2MB) |
CDI Disclosure |
English (PDF, KB) |
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Employer Services (800) 325-5166
Blue Shield of California
PO Box 272540
Chico, CA 95927-2540
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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.