Dental PPO Plans - 2022

Dental PPO Plans - 2022

Dental PPO Plans

Plan Names Summaries of Benefits Disclosures
Bronze DPPO/$1000/MAC

English
Spanish

English
Bronze DPPO/$1000/MAC/Child Only Ortho

English
Spanish

English
Bronze Voluntary DPPO/$1000/MAC

English
Spanish

English
Bronze Voluntary DPPO/$1000/MAC/Child Only Ortho

English
Spanish

English
Silver DPPO/$1500/MAC

English
Spanish

English
Silver DPPO/$1500/MAC/Adult+Child Ortho

English
Spanish

English
Silver DPPO/$1500/U90

English
Spanish

English
Silver DPPO/$1500/U90/Adult+Child Ortho

English
Spanish

English
Gold DPPO/$1500/U90

English
Spanish

English
Gold DPPO/$1500/U90/Adult+Child Ortho

English
Spanish

English
Gold DPPO/$2000/U90

English
Spanish

English
Gold DPPO/$2000/U90/Adult+Child Ortho

English
Spanish

English
Platinum DPPO/$2500/U90

English
Spanish

English
Platinum DPPO/$2500/U90/Adult+Child Ortho

English
Spanish

English
Platinum DPPO/$3000/U90

English
Spanish

English
Platinum DPPO/$3000/U90/Adult+Child Ortho

English
Spanish

English
Platinum DPPO/$5000/U90

English
Spanish

English
Platinum DPPO/$5000/U90/Adult+Child Ortho

English
Spanish

English
Diamond DPPO/$3000/U95

English
Spanish

English
Diamond DPPO/$3000/U95/Adult+Child Ortho

English
Spanish

English
Diamond DPPO/$5000/U95

English
Spanish

English
Diamond DPPO/$5000/U95/Adult+Child Ortho

English
Spanish

English

 

 

 

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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.