Smile Spectrum PPO Dental Plans 2023

Smile Spectrum PPO Dental Plans

Smile Spectrum PPO Dental Plans

Plan Name Summary of Benefits Disclosure
SmileSM Spectrum 50/1000/No Ortho/MAC English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum 50/1000/Ortho/MAC English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum 50/1500/No Ortho/MAC English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum 50/1500/No Ortho/U90 English  362KB        Spanish 370KB Disclosure 632KB
SmileSM Spectrum 50/1500/Ortho/MAC English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum 50/1500/Ortho/U90 English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Advantage 50/1000/No Ortho/U80 English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Advantage 50/1500/Ortho/U80 English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Advantage 50/1500/Ortho/U80/In-Network English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Advantage 50/2000/Ortho/U80 English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier 50/1000/No Ortho/U90 English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier 50/1000/Ortho/U90 English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier 50/1500/Lifetime Ortho 1500/U80 English 362KB         Spanish 370KB   Disclosure 632KB
SmileSM Spectrum Premier 50/1500/No Ortho/MAC English 362KB         Spanish 370KB   Disclosure 632KB
SmileSM Spectrum Premier 50/1500/No Ortho/U90 English 362KB         Spanish 370KB     Disclosure 632KB
SmileSM Spectrum Premier 50/1500/Ortho/MAC English 362KB         Spanish 370KB     Disclosure 632KB
SmileSM Spectrum Premier 50/1500/Ortho/U90 English 362KB         Spanish 370KB      Disclosure 632KB
SmileSM Spectrum Premier 50/2000/Lifetime Ortho 1500/U80 English 362KB         Spanish 370KB      Disclosure 632KB
SmileSM Spectrum Premier 50/2000/No Ortho/MAC English 362KB         Spanish 370KB  Disclosure 632KB
SmileSM Spectrum Premier 50/2000/No Ortho/U90 English 362KB         Spanish 370KB  Disclosure 632KB
SmileSM Spectrum Premier 50/2000/Ortho/MAC English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier 50/2000/Ortho/U90 English 362KB         Spanish 370KB  Disclosure 632KB
SmileSM Spectrum Premier D&P Waiver 50/1500/No Ortho/U90 English 362KB         Spanish 370KB    Disclosure 632KB
SmileSM Spectrum Premier D&P Waiver 50/1500/Ortho/U90 English 362KB         Spanish 370KB    Disclosure 632KB
SmileSM Spectrum Premier D&P Waiver+Rollover 50/1500/No Ortho/U90 English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier D&P Waiver+Rollover 50/1500/Ortho/U90 English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier Plus 25/1500/Lifetime Ortho 1500/U80 English 362KB         Spanish 370KB   Disclosure 632KB
SmileSM Spectrum Premier Plus 25/1500/No Ortho/U80 English 362KB         Spanish 370KB    Disclosure 632KB
SmileSM Spectrum Premier Plus 25/2000/Lifetime Ortho 1500/U80 English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier Plus 25/2000/No Ortho/U80 English 362KB         Spanish 370KB   Disclosure 632KB
SmileSM Spectrum Premier Plus 25/2500/Lifetime Ortho 2000/U90 English 362KB         Spanish 370KB    Disclosure 632KB
SmileSM Spectrum Premier Plus 25/2500/No Ortho/U90 English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier Plus 25/3000/Lifetime Ortho 2000/U90 English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier Plus 25/3000/No Ortho/U90 English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier Plus 50/1000/No Ortho/MAC English 362KB         Spanish 370KB   Disclosure 632KB
SmileSM Spectrum Premier Plus 50/1000/No Ortho/U90 English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier Plus 50/1000/Ortho/MAC English 362KB         Spanish 370KB   Disclosure 632KB
SmileSM Spectrum Premier Plus 50/1000/Ortho/U90 English 362KB         Spanish 370KB    Disclosure 632KB
SmileSM Spectrum Premier Plus 50/1500/No Ortho/MAC English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier Plus 50/1500/No Ortho/U90 English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier Plus 50/1500/Ortho/MAC English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier Plus 50/1500/Ortho/U90 English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier Plus 50/2000/No Ortho/MAC English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier Plus 50/2000/No Ortho/U90 English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier Plus 50/2000/Ortho/MAC English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier Plus 50/2000/Ortho/U90 English 362KB         Spanish 370KB  Disclosure 632KB
SmileSM Spectrum Premier Plus 50/2500/Lifetime Ortho 2000/U80 English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier Plus 50/2500/No Ortho/U80 English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier Plus 50/3000/Lifetime Ortho 2000/U80 English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier Plus 50/3000/No Ortho/U80 English 362KB         Spanish 370KB  Disclosure 632KB
SmileSM Spectrum Premier Plus D&P Waiver 50/1500/No Ortho/U90 English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier Plus D&P Waiver 50/1500/Ortho/U90 English 362KB         Spanish 370KB  Disclosure 632KB
SmileSM Spectrum Premier Plus D&P Waiver 50/2000/No Ortho/U90 English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier Plus D&P Waiver 50/2000/Ortho/U90 English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier Plus D&P Waiver+Rollover 50/1500/No Ortho/U90 English 362KB         Spanish 370KB  Disclosure 632KB
SmileSM Spectrum Premier Plus D&P Waiver+Rollover 50/1500/Ortho/U90 English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier Plus Rollover 50/1500/No Ortho/U90 English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier Plus Rollover 50/1500/Ortho/U90 English 362KB         Spanish 370KB Disclosure 632KB
SmileSM Spectrum Premier Rollover 50/1500/No Ortho/U90 English 362KB         Spanish 370KB   Disclosure 632KB
SmileSM Spectrum Premier Rollover 50/1500/Ortho/U90 English 362KB         Spanish 370KB  Disclosure 632KB
SmileSM Spectrum Premier Rollover 50/2000/No Ortho/U90 English 362KB         Spanish 370KB  Disclosure 632KB
SmileSM Spectrum Premier Rollover 50/2000/Ortho/U90 English 362KB         Spanish 370KB  Disclosure 632KB

Contact Us

  • Producer Services (800) 559-5905

    Employer Services (800) 325-5166

  • Blue Shield of California

    PO Box 272540

    Chico, CA 95927-2540

  • Quick Links

    About Blue Shield

    Contact Us

    News

    Careers

  •  

    Send Feedback

    Terms of Use

    Privacy

    Sitemap

  • Get Social

    • TRUSTe

© California Physicians’ Service DBA Blue Shield of California 1999-2022. All rights reserved. California Physicians’ Service DBA Blue Shield of California is an independent member of the Blue Shield Association.

Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Health plans are offered by Blue Shield of California.