When providing a benefit summary to an applicant or Blue Shield member, you must also include a Disclosure and a Notice of Language Assistance (PDF, 1MB).
| SmileSM Plus Gold 50/1500/Ortho/U80/ADV | English | |
| SmileSM Plus Gold 50/1500/No Ortho/U90/ADV | English | |
| SmileSM Plus Gold 50/1500/Ortho/U90/ADV | English | |
| SmileSM Plus Gold 50/2500/No Ortho/U90/ADV | English | |
| SmileSM Plus Gold 50/2500/Ortho/U90/ADV | English |
| Plan Name | Benefit Summaries | Disclosures |
|---|---|---|
|
SmileSM Value 50/1500/No Ortho/MAC/NR |
English | |
|
SmileSM 50/1500/No Ortho/Mac/NR |
English | |
| SmileSM Plus 50/1500/Ortho/Mac/NR | English | |
| SmileSM Basic 75/1000/No Ortho/Mac/NR | English | |
| SmileSM Basic 50/1000/No Ortho/MAC | English | |
| SmileSM Basic 50/1000/Ortho/U85 | English | |
| SmileSM Plus 50/1500/No Ortho/MAC | English | |
| SmileSM Plus 50/1500/No Ortho/MAC/WP | English | |
| SmileSM Deluxe 50/1500/Ortho/MAC/NR | English | |
| SmileSM Deluxe 2000 50/2000/No Ortho/MAC/NR | English | |
| SmileSM Deluxe Plus 2000 50/2000/Ortho/MAC/NR | English | |
| SmileSM Deluxe Gold 50/1500/Ortho/U85/NR | English | |
| SmileSM Plus Gold 50/1500/Ortho/U85/NR | English | |
| SmileSM Plus Gold 50/1500/Ortho/U80 | English | |
| SmileSM Plus Gold 50/1500/No Ortho/U80 | English | |
| Ultimate Dental PPO for Small Business 50/2000/MAC/NR | English | |
| Ultimate Dental Plus PPO for Small Business 50/2000/MAC/NR | English | |
| Ultimate Dental PPO for Small Business 50/2000/No Ortho/U80 | English | |
| Ultimate Dental PPO for Small Business 50/2000/Lifetime Ortho/U90 | English | |
| Ultimate Dental PPO for Small Business 50/2000/No Ortho/U90 | English | |
| SmileSM Basic Voluntary 75/1000/No Ortho/MAC/NR | English | |
| SmileSM Basic Voluntary 50/1000/No Ortho/MAC | English | |
| SmileSM Basic Voluntary 50/1500/Ortho/U80 | English | |
|
SmileSM Basic Voluntary 50/1000/No Ortho/U80/NWP |
English |
| Plan Name | Benefit Summaries | Disclosures |
|---|---|---|
|
SmileSM Basic 75/1000/No Ortho/Mac |
English | |
| SmileSM Value 50/1500/No Ortho/MAC | English | |
| SmileSM 50/1500/No Ortho/Mac | English | |
| SmileSM Plus 50/1500/Ortho/Mac | English | |
| SmileSM Plus Gold 50/1500/Ortho/U85 | English | |
| SmileSM Deluxe 2000 50/2000/No Ortho/MAC | English | |
| SmileSM Deluxe 50/1500/Ortho/MAC | English | |
| SmileSM Deluxe Plus 2000 50/2000/Ortho/MAC | English | |
| SmileSM Deluxe Gold 50/1500/Ortho/U85 | English | |
| Ultimate Dental PPO for Small Business 50/2000/MAC | English | |
| Ultimate Dental Plus PPO for Small Business 50/2000/MAC | English | |
|
SmileSM Basic Voluntary 75/1000/No Ortho/MAC |
English | |
| SmileSM Basic Voluntary 75/1000/No Ortho/MAC - NWP | English | |
| SmileSM Basic 75/1000/No Ortho/MAC | English | |
| SmileSM Value 50/1500/No Ortho/MAC | English | |
| SmileSM 50/1500/No Ortho/MAC | English | |
| SmileSM Plus 50/1500/Ortho/MAC | English | |
| SmileSM Plus Gold 50/1500/Ortho/U85 | English | |
| SmileSM Deluxe 2000 50/2000/No Ortho/MAC | English | |
| SmileSM Deluxe 50/1500/Ortho/MAC | English | |
| SmileSM Deluxe Plus 2000 50/2000/Ortho/MAC | English | |
| SmileSM Deluxe Gold 50/1500/Ortho/U85 | English | |
| Ultimate Dental PPO for Small Business 50/2000/MAC | English | |
| Ultimate Dental Plus PPO for Small Business 50/2000/MAC | English | |
| Smile |
English | |
| Smile |
English | |
| Smile |
English | |
| Smile |
English | |
| Smile |
English | |
| Smile |
English | |
| Smile |
English | |
| Smile |
English |
Contact Us
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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.