Blue Shield offers affordable and comprehensive dental plans available to clients with and without a Blue Shield health plan.1
We also offer a dental and vision plan package, Specialty DuoSM,* which includes comprehensive dental and vision coverage.
Waiting periods for new members enrolling in any Blue Shield IFP Dental PPO plan can be waived, provided the new member submits documentation of prior coverage from any dental carrier that meets the following criteria.
Our dental provider networks are among the largest in the state. The dental PPO plans include over 47,000 access points2 and our dental HMO network includes over 22,000 access points2 in California. Visit Find a Doctor to help your client's find a dentist in their area.
The on-exchange HMO plans will receive a rate pass for 2023 while on-exchange PPO dental plans will increase an average of 4.6%. Our marketed, off-exchange PPO and HMO dental plans will experience a 3.9% rate increase.
No waiting period for diagnostic or preventive services
Covered diagnostic and preventive services, such as X-rays and routine cleanings, do not count toward the annual coverage limit for dental PPO and Specialty Duo dental plans, providing more coverage for other services before reaching the annual limit
A wide range of dental benefits, including most diagnostic and preventive services and oral cancer screening, at no additional cost when using a dental network provider
Implants coverage available
Orthodontic benefits are available on select plans for both children and adults
Up to $75 deductible per member, per calendar year
Choice of a $1,000, $1,250 or $2,000 calendar-year benefit maximum per member
Coverage even when members use a non-network dentist. Our plan reimburses members up to an allowed amount for covered services, and they pay the remaining balance of the total billed charges.
1 Your client must be a California resident at the time of enrollment. If your client had a Blue Shield IFP dental plan or a dental + vision package canceled, they must wait six months from the date of cancellation before they can reapply. 2 Access points represents the number of network dentists at each office location where patients are treated. A network dentist who treats patients at two separate office locations constitutes as two access points.
*Underwritten by Blue Shield of California Life & Health Insurance Company (Blue Shield Life).