follow us

Get a Quote & Apply for Dental Plans

Go

Dental PPO Plans

Blue Shield offers affordable and comprehensive dental PPO health plans available with or without Blue Shield medical plans. We also offer a dental and vision plan package, Specialty Duo,SM,1 that includes comprehensive dental and vision coverage to give you the protection your mouth and eyes deserve.

You and your dependent(s) of all ages can enjoy the great value and protection of Blue Shield dental coverage or dental + vision coverage, whether you are covered or not covered by a Blue Shield medical plan. Choose from a comprehensive dental PPO2 plan, an affordable Value Smile SM PPO1,2 plan or a Specialty Duo dental + vision package.2

Dental PPO Health Insurance Plan Benefits

  • The PPO dental network features general and specialty care dentists in more than 21,000 provider locations in California, making it convenient for you to access quality dental coverage
  • Two annual teeth cleanings, including X-rays and oral cancer screening, covered at 100% when using network providers
  • Low copayments for basic and major services
  • Fixed copayments when using network dentists
  • No waiting period for diagnostic or preventive services (there’s a 3-month waiting period for minor restorative services and 12-month waiting period for major restorative and orthodontic services)
  • Orthodontic benefits for children and adults4
  • Coverage even when you use an out-of-network dentist
  • Individual annual deductible of $50 per member
  • $1,000 per member, per calendar-year benefit maximum, of which $500 per member, per year can be used for non-network benefits5
  • Enhanced dental benefits for pregnant women6

Specialty Duo1 Dental + Vision Package Benefits

Specialty Duo Dental Plan1 Benefits:

Specialty Duo dental plan offers the same key benefits as the Dental PPO plan above.

Specialty Duo Vision Plan1 Benefits:

  • Access to more than 6,000 vision care provider locations in California3 including retail chains open on evenings and weekends, Costco (warehouse, membership required), and 24/7 access to online eyewear with My2020EyesDirect.com
  • Choice of network or non-network vision providers
  • No copayment for eye exams
  • $25 copayment for lenses and low-vision-aids
  • $100 frame allowance that can be used towards any pair of frames
  • Coverage for an eye exam once every 12 months
  • Coverage for lenses or contact lenses every 24 months, or 12 months with a prescription change
  • Coverage for frames every 24 months
  • 90-day waiting period for vision care services
  • Benefit for non-prescription sunglasses if you’ve had LASIK or PRK surgery

Get complete 2014 dental health plan details (PDF, 225KB)

Value Smile PPO1 Plan Features

  • The PPO dental network features general and specialty care dentists in more than 21,000 provider locations in California, making it convenient for you to access quality dental coverage3
  • Two annual teeth cleanings including X-rays and oral cancer screening, covered at 100% when using network providers
  • Low copayments for basic services
  • Fixed copayments when using network dentists
  • Three-month waiting period basic services. No coverage for major services
  • Coverage even when you use an out-of-network dentist
  • An individual annual deductible of $25 per member 
  • A $500 per member, per calendar-year benefit maximum5
  • Enhanced dental benefits for pregnant women6

Get complete 2014 dental health plan details (PDF, 225KB)  

If you have any questions, contact your agent or call (888) 568-3560, 9 a.m. to 4:30 p.m. weekdays, excluding holidays, to speak with a Blue Shield representative.

Whether you're a Blue Shield individual and family plan member or not, there is a Blue Shield dental plan that's right for you. Plans are available to everyone of all ages living in California.2

Learn More


1 Specialty Duo package and Value Smile PPO plans are underwritten by Blue Shield of California Life & Health Insurance Company (Blue Shield Life). Pending regulatory approval.
2 You must be a California resident at the time of enrollment. If you had a Blue Shield IFP dental plan or a dental + vision package canceled, you must wait 6 months from the date of cancellation before you can reapply.
3 Dental providers in California are available through the contracted dental plan administrator. Vision providers in California are available through the contracted vision plan administrator.
4 Orthodontic services have a fixed patient copayment and don’t apply to the calendar-year benefit maximum. Orthodontic treatment is limited to one full case during the lifetime of the member and consists of 24 continuous months of usual and customary orthodontic care. Full case fee includes consultation, treatment plan, tooth movement and retention. Orthodontist may charge members separately for records, limited to $250 per case. Treatment beyond 24 months is the responsibility of the patient.
5For each calendar year, you are responsible for all charges incurred after the benefit plan maximum has been reached.
6 The plan covers one additional routine adult prophylaxis for women during pregnancy. Specialty Duo package and Dental PPO plan additionally include one periodontal maintenance visit if warranted by a history of periodontal treatment, and one course (up to four quadrants) of periodontal scaling and root planing for women during pregnancy, with a documented existing periodontal condition.