Complete your Blue Shield Medicare Supplement plan with one of our dental plans. We offer dental PPO plans for Medicare Supplement plan members to choose from. Selecting one of our plans to complement your Medicare Supplement plan ensures you receive your health and wellness benefits from one source – providing you coverage when you need it, from head to toe. If you are a current Blue Shield Medicare Supplement plan member, enroll in a dental plan today.
Why do you need a dental plan?
Studies show that more than 90% of all common diseases have oral symptoms.1 Luckily, whether you need treatment or just want preventive care, we have coverage options for you. Blue Shield offers two dental PPO plans with affordable rates. Plus, you can save $3 off the listed rates for the first six months if you enroll in a dental plan at the same time you enroll in your Medicare Supplement plan.2
Find a dentist
It’s easy to find a dentist or see if your current dentist is in our network. Use our Find a Doctor tool and select “Dentists.” Under plan type, choose Blue Shield Inspire Optional Dental Plan (HMO or PPO) or Blue Shield 65 Plus Optional Dental Plan (HMO or PPO).
Blue Shield Dental PPO Plan highlights
- An extensive network of more than 44,000 general and specialty care dentists in California, and nearly 350,500 nationwide.3
- Three annual teeth cleanings, plus annual X-rays and oral cancer screening covered at 100% when using network providers.4
- No waiting period for dental checkups, cleanings, fillings, x-rays, or basic services.
- A wide range of major restorative dental services and procedures, including crowns, endodontics, periodontics, oral surgery, and prosthetics at low network rates.5
| Plan details | Dental PPO 1000 | Dental PPO 1500 |
|---|---|---|
| Individual plan monthly rates | $36.10 | $52.80 |
| Calendar-year deductible (per member) | $50/person | $50/person |
| Calendar-year benefit max | $1,000 ($750 may be used for non-network dentists)1 |
$1,500 ($1,000 may be used for non-network dentists)1 |
| Blue Shield pays | ||
| Diagnostic and preventive care (not subject to plan deductibles with network dentists; includes routine oral exams, X-rays, and three teeth cleanings annually) | 100% for network dentists 50% for non-network dentists2 |
100% for network dentists 80% for non-network dentists2 |
| Basic services (includes an oral cancer screening, anesthesia, palliative treatment, and restorative dentistry) | 50% for network and non-network dentists2 | 80% for network dentists 70% for non-network dentists2 |
| Major services3 12-month waiting period for Dental PPO 1500 and 6-month waiting period for Dental PPO 1000 (includes crown buildups, crowns, endodontics, periodontics, oral surgery, prosthetics, inlays, onlays, jackets, post and cores, and veneers) | 50% for network and non-network dentists2 | 50% for network and non-network dentists2 |
Applies to the chart above:
1Each calendar year, the member is responsible for all charges incurred after the plan has paid these amounts for covered dental services.
2The coinsurance percentage indicated is a percentage of allowed amounts that we pay to providers. Non-network providers can charge more than our allowable amount. When members use non-network providers, they must pay the applicable copayment/coinsurance plus any amount that exceeds our allowable amount. Charges in excess of the allowable amount do not count toward the calendar-year deductible or copayment maximum.
3Dental PPO 1500 plan for all Medicare Supplement dental plan members have a 12-month waiting period and Dental PPO 1000 dental plan members have a 6-month waiting period for major restorative services and procedures such as crowns, endodontics, periodontics, oral surgery, and removable or fixed prosthetics. Medicare Supplement Dental PPO 1000 waiting period for major services is being reduced from 12 months to 6 months.
Become a member today
You can sign up for a Blue Shield of California dental plan on the Medicare Supplement dental plan application (PDF, 66 KB).
Download the following for complete information about these specialty plans:
Dental brochure
Dental PPO disclosure (PDF, 233 KB)
Note: For existing Medicare Supplement plan members who want to transfer into Plan F Extra,7 Plan G Inspire,8 or Plan G Extra; which include vision benefits, complete the full application and add your dental plan selection.
If you have any questions about applying for dental coverage, you can call (877) 890-7587 [TTY: 711] to speak with a Blue Shield of California Medicare adviser. Hours of operation are 8 a.m. to 8 p.m. seven days a week, from October 1 through March 31, and 8 a.m. to 8 p.m., weekdays from April 1 through September 30.
