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
Producer Services (800) 559-5905
Employer Services (800) 325-5166
Blue Shield of California
PO Box 272540
Chico, CA 95927-2540
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© California Physicians’ Service DBA Blue Shield of California 1999-. 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.