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Dental Plans

Blue Shield offers affordable and comprehensive dental plans available to clients with and without a Blue Shield health plan.1 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 24,000 California providers in our HMO dental network and 37,000 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 295,000 providers.

Effective January 2016, covered diagnostic and preventive services (such as X-rays and routine cleanings) will no longer count toward the annual coverage limit for Dental PPO and Specialty DuoSM Dental Plans. This provides more coverage for other services before reaching the annual limit.

Learn more about these coverage options:
Dental PPO Plans  |  Dental HMO Plans
Dental PPO Plan Benefits
  • Access to over 32,600 general care and specialty dentists in California
  • Covered diagnostic and preventive services (such as x-rays and routine cleanings) will no longer count toward the annual coverage limit for Dental PPO and Specialty DuoSM Dental Plans.* This provides more coverage for other services before reaching the annual limit.
  • 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 adults
  • 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 member
A side-by-side dental PPO plan comparison
Benefit Dental PPO Enhanced Dental PPO 25/500 Enhanced Dental PPO 50/1250
  With participating providers members pay2 
Diagnostic and preventive services (includes but is not limited to cleanings, x-rays, initial and periodic oral examinations) $0 $0 $0
Restorative services - fillings (one surface resin composite) $37 per tooth Deductible + 20% Deductible + 20%
Oral surgery (includes but is not limited to extraction of erupted tooth or exposed root) $40 per tooth Deductible + 20% Deductible + 20%

Root canal (anterior root canal)

$156 per tooth Deductible + 50%

Deductible + 50%

Crowns (porcelain / ceramic substrate) $265 each crown3 Deductible + 50% Deductible + 50%
Fixed bridges (pontic-cast high noble metal) $293 each tooth replaced3 Deductible + 50% Deductible + 50%
Removable prosthetics (full upper or lower dentures) $388 per denture Deductible + 50% Deductible + 50%
Orthodontics: child4
(two-year case)
$2,350 Not covered Not covered
Orthodontics: adult4
(two-year case)
$2,650 Not covered Not covered
Calendar-year deductible $50 $25 per individual/
$75 per family
$50 per individual/
$150 per family
Calendar-year benefit maximum $1,000 $500 $1,250
For complete plan details, download the benefit summaries for these plans»
Dental HMO plan benefits
  • Access over 16,000 dental provider locations in California
  • 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 adults
  • Specialty care available with a referral from a primary dentist
  • Virtually no claim forms
A side-by-side dental HMO plan comparison
Benefit Dental HMO Enhanced Dental HMO $0 
  With participating providers members pay2 
Diagnostic and preventive services (includes but is not limited to cleanings, x-rays, initial and periodic oral examinations) $0 $0
Restorative services - fillings (one surface resin composite) $18 per tooth $20
Oral surgery (includes but is not limited to extraction of erupted tooth or exposed root) $34 per tooth Not covered

Root canal (anterior root canal)

$155 per tooth Not covered
Crowns (porcelain/ceramic substrate) $3003 $3503 
Fixed bridges (pontic-cast high noble metal) $3003 $3503 
Removable prosthetics (full upper or lower dentures) Not covered Not covered
Orthodontics: child $2,3504 $2,350
Orthodontics: adult $2,6504 $2,650
Calendar-year deductible $0 $0
Calendar-year benefit maximum N/A $0
For complete plan details, download the benefit summaries for these plans»
Rates
Rates for our dental plans are available in our IFP rate books or through our Quote & Apply Tool when purchased with a medical plan.
*Underwritten by Blue Shield of California Life & Health Insurance Company (Blue Shield Life).
1. 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.
2. 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.
3. Precious metals, if used, will be charged to the member at the dentist's cost.
4. There is a 12-month waiting period for orthodontic services. In order to be covered, orthodontic treatment: must be received in one continuous course of treatment; and must be received in consecutive months. Orthodontic treatment must not exceed 24 consecutive months.
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