| 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
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Blue Shield of California
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Chico, CA 95927-2540
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