Dental Care
In general, preventative dental services such as cleaning, routine dental exams, and dental x-rays are not covered by Original Medicare. Routine dental care coverage is available to Blue Shield members enrolled the following plans and counties. Please refer to your Evidence of Coverage (EOC) for a full list of covered dental procedures.
| Plan Name | County |
|---|---|
| Blue Shield Balance (HMO) |
Los Angeles |
| Blue Shield Inspire (HMO) Blue Shield 65 Plus Plan 2 (HMO) |
Los Angeles Orange |
| Blue Shield 65 Plus (HMO) Blue Shield TotalDual Plan (HMO D-SNP) |
Los Angeles Orange San Bernardino San Diego |
| Blue Shield 65 Plus Choice Plan (HMO) |
Riverside San Bernardino |
| Blue Shield Vital (HMO) |
Los Angeles Orange Riverside San Bernardino |
| Blue Shield AdvantageOptimum Plan (HMO) | Fresno Los Angeles Merced Orange San Joaquin Santa Clara Stanislaus |
| Blue Shield AdvantageOptimum Plan 1 (HMO) Blue Shield AdvantageOptimum Plan 2 (HMO) |
San Diego |
| Blue Shield Coordinated Choice Plan (HMO) | Fresno Los Angeles Merced Orange San Bernardino San Diego Santa Clara San Joaquin Stanislaus |
| Blue Shield Inspire (HMO D-SNP) | Fresno Merced San Joaquin Stanislaus |
Vision Care
Eye exams can often detect serious chronic conditions such as diabetes, hypertension, and high cholesterol. Luckily, whether you need treatment or just want preventive care we have you covered.
- Routine eye exam, including refraction and prescription for eyeglass lenses. If the provider recommends additional procedures, you are responsible for paying the additional costs. Contact lens exam services and materials require additional fees. You are responsible for paying the additional cost.
- Eyeglass frames and eyeglass lenses (including single, lined bifocal, lined trifocal, and lenticular lenses) or contact lenses.
1 Prior authorization (approval in advance) is not required. Go to blueshieldca.com/find-a-doctor to locate a provider participating in the Vision Service Plan (VSP) network.
2 Refer to your Evidence of Coverage for a full list of covered services and cost.
