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Family Dental Plans

Blue Shield offers affordable and comprehensive dental plans available to clients with and without a Blue Shield health plan.* We also offer a dental and vision plan package – Specialty DuoSM,** – that includes comprehensive dental and vision coverage to give your clients the additional protection their mouth and eyes deserve.

Our dental provider networks are among the best! We have more than 16,000 California providers in our HMO dental network and well over 25,000 providers in our dental PPO network. No matter which Blue Shield family dental plan your clients choose, they can rely on a national network of more than 218,000 providers.

Learn more about these coverage options:

2014 Dental Plans  |  Dental PPO Plans   |  Dental HMO Plans  |   Pediatric Dental Plans 
Updates effective January 1, 2014
  • As of January 1, 2014 Value SmileSM PPO** plan will no longer be available for new business. However, current plan members can keep their policy. We will continue to offer the Dental PPO, Dental HMO, and Specialty Duo plans from our current portfolio.

  • We are pleased to offer four new pediatric dental plans available for purchase through Blue Shield or Covered California.
In addition we are proud to present five new family dental plan options available for purchase directly through Blue Shield (these plans are not available through Covered California).
  • Enhanced Dental HMO $0***
  • Enhanced Dental Plus PPO 25/500***
  • Enhanced Dental PPO 25/500***
  • Enhanced Dental Plus PPO 50/1250***
  • Enhanced Dental PPO 50/1250***
These HMO and PPO plans offer a range of benefit levels and rates. All five plans cover both minor and major restorative services. Our two "Plus" PPO plans even cover child orthodontics.
Dental PPO Plan Benefits
  • Access to over 25,000 general care and specialty dentists in California7 
  • A wide range of dental benefits, including most diagnostic and preventive services and oral cancer screening, at no additional cost when using a dental network provider
  • Coverage even when your clients use a non-network dentist. The plan reimburses members up to an allowed amount for covered services and members pay the remaining balance of the total billed charges
  • No waiting period for diagnostic or preventive services
  • Implants coverage available in our dental PPO plans with a $1,250 calendar-year benefit maximum
  • Orthodontic benefits are available for both children and adults8 
  • Choice of $25 or $50 deductible per member, per calendar year
  • Choice of a $500, $1,000 or $1,250 calendar-year benefit maximum per member9
Dental HMO Plan Benefits
  • Access over 16,000 dental provider locations in California7 
  • A wide range of dental benefits, including most diagnostic and preventive services at no additional cost
  • No deductibles and no calendar-year maximums
  • Orthodontic services available with and without a  12-month waiting period
  • Affordable fixed copayments for basic and major services
  • Orthodontic benefits are available for both children and adults8 
  • Specialty care available with a referral from a primary dentist
  • Virtually no claim forms
Rates
Rates for our new family dental plan are available in our IFP rate books, or through our online Quote & Apply tool when purchased with a medical plan.
* Your client must be a California resident at the time of enrollment. If your client had a Blue Shield IFP dental plan or a dental + vision package canceled, they must wait 6 months from the date of cancellation before they can reapply.
**Underwritten by Blue Shield of California Life & Health Insurance Company (Blue Shield Life).
***These plans are pending regulatory approval.
1. The amounts indicated are a percentage of the allowable amounts. Participating providers accept Blue Shield's allowable amounts as payment-in-full for covered services. 
2. There is a six-month waiting period for these services. 
3. There is a 12-month waiting period for these services. 
4. There is a $100 deductible for orthodontia, a $500 annual maximum benefit per child per year, and a $1,000 maximum per child per lifetime.
5. There is a $50 deductible for orthodontia, a $250 annual maximum benefit per child per year, and a $500 maximum per child per lifetime.
6. Applies to all services except diagnostic and preventive services.  See footnotes 4 and 5 above for deductible requirements specific to orthodontics. 
7. Dental providers in California are available through the contracted dental plan administrator. Vision providers in California are available through the contracted vision plan administrator.
8. 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.
9. For each calendar year, the member is responsible for all charges incurred after the benefit plan maximum has been reached.
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Broker Resources
New Pediatric dental plans
Dental plans at a glance
Benefit summaries
Rates
Sales resources and collateral
Forms and applications
Quote & Apply tool now available for stand-alone dental