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Dental Plans
Blue Shield

Dental coverage is the benefit most requested by employees after medical coverage.  With Blue Shields affordable dental plans and access to some of the largest dental provider networks in the country1,  you’ll add value to your employees’ benefits package and help them better manage their oral and overall health.  Plus, offering access to preventive oral care can help keep employees happier and more productive at work.

Brochure including HMO  

What Blue Shield Offers

Blue Shield dental plans are available with or without a Blue Shield medical plan. They  offer a variety of benefit levels, plan flexibility, no waiting periods2 and one-source administration. For added flexibility, voluntary dental plans require no minimum employer contribution.

Dental  INO  Smile  SM  plans

The SmileSM In-Network Only (INO) dental plan portfolio3 pays benefits on a coinsurance basis, but with no out-of-network coverage1. The INO network includes all the same providers as the dental PPO network. Members can access covered services from any provider in the INO network, giving members access to over 25,000 providers in California and over 218,000 nationwide1. The INO plan lets you tailor dental coverage for your employees by selecting options from these three key components:

  • Voluntary or contributory
  • Endodontics and periodontics coverage level (either a 50% or 80% coinsurance level)
  • Orthodontia coverage (can be included or excluded)

Additional features:

  • $1,500 annual benefit maximum
  • Orthodontic coverage of $1,000 per calendar year available, for children and adults
  • Oral cancer screening covered as a diagnostic and preventive service
  • Covered diagnostic and preventive services covered at 100%

Dental  PPO  Smile SM  Plans

With our dental PPO plans, you and your employees have access to a nationwide dental network of more than 25,000 providers in California and 218,000 PPO providers nationwide.1

Your employees save money and get the most out of their benefits by choosing a provider from our large network of general and specialty dentists. They can also receive care from any licensed dentist of their choice, covered as an out-of-network benefit.

  • No waiting periods so employees have access to benefits on the first day of coverage.
  • 100 percent coverage for diagnostic and preventive services from network providers.
  • Enhanced dental services for pregnant women.
  • Orthodontic coverage options for children and adults with some plans, with up to a $1000 orthodontic benefit per member, per year. To learn more, see the handy Member Guide to Ortho Coverage. (PDF, 464KB)
  • Choices for low annual deductibles and calendar year maximums.

Dental  HMO  Plans

Dental HMO plans help your employees and their dependents take control of their dental costs with the network dental provider of their choice. We’re now introducing four new dental HMO plans to offer coverage for basic and major services, while delivering lower out-of-pocket costs for employees.

Our dental HMO features include:

  • Over 16,000 HMO providers in California1
  • $5 office visit copayments
  • No deductibles, claim forms or calendar-year maximums
  • No charge for diagnostic and preventive services
  • Select plans have orthodontia benefits for adults and children.

Dual  Option  Dental

Give your employees a choice between any two dental plans, including voluntary plans.

Find a Provider or call member services at (888) 702-4171 for dental PPO/INO plans, or at (800) 585-8111 for dental HMO plans. Call center hours are Monday through Friday, 5 a.m. to 8 p.m. (PST).

 

Recommend a Dentist

If your employee’s dentist is not in the provider network, they can nominate a dentist  to join the network.


1 Dental providers in and out of California are available through a contracted dental plan administrator.
2 Voluntary dental PPO and INO plans have a 12-month waiting period for major services.
3 Underwritten by Blue Shield of California Life & Health Insurance Company (Blue Shield Life) and pending regulatory approval.  Copied from Blue Shield CA.com 

Dental PPO  2020

Brochure including HMO 

Competitive Highlights  

Dental PPO Plans with ADV

SmileSM Plus Gold 50/1500/Ortho/U80/ADV Summary

 

English
Spanish

Disclosure

 

English

SmileSM Plus Gold 50/1500/No Ortho/U90/ADV English
Spanish
English
SmileSM Plus Gold 50/1500/Ortho/U90/ADV English
Spanish
English
SmileSM Plus Gold 50/2500/No Ortho/U90/ADV English
Spanish
English
SmileSM Plus Gold 50/2500/Ortho/U90/ADV English
Spanish
English

Dental PPO Plans without ADV

Plan Name Benefit Summaries Disclosures
SmileSM Value 50/1500/No Ortho/MAC/NR English
Spanish
English
SmileSM 50/1500/No Ortho/Mac/NR English
Spanish
English
SmileSM Plus 50/1500/Ortho/Mac/NR English
Spanish
English
SmileSM Basic 75/1000/No Ortho/Mac/NR English
Spanish
English
SmileSM Basic 50/1000/No Ortho/MAC English
Spanish
English
SmileSM Basic 50/1000/Ortho/U85 English
Spanish
English
SmileSM Plus 50/1500/No Ortho/MAC English
Spanish
English
SmileSM Plus 50/1500/No Ortho/MAC/WP English
Spanish
English
SmileSM Deluxe 50/1500/Ortho/MAC/NR English
Spanish
English
SmileSM Deluxe 2000 50/2000/No Ortho/MAC/NR English
Spanish
English
SmileSM Deluxe Plus 2000 50/2000/Ortho/MAC/NR English
Spanish
English
SmileSM Deluxe Gold 50/1500/Ortho/U85/NR English
Spanish
English
SmileSM Plus Gold 50/1500/Ortho/U85/NR English
Spanish
English
SmileSM Plus Gold 50/1500/Ortho/U80 English
Spanish
English
SmileSM Plus Gold 50/1500/No Ortho/U80 English
Spanish
English
Ultimate Dental PPO for Small Business 50/2000/MAC/NR English
Spanish
English
Ultimate Dental Plus PPO for Small Business 50/2000/MAC/NR English
Spanish
English
Ultimate Dental PPO for Small Business 50/2000/No Ortho/U80 English
Spanish
English
Ultimate Dental PPO for Small Business 50/2000/Lifetime Ortho/U90 English
Spanish
English
Ultimate Dental PPO for Small Business 50/2000/No Ortho/U90 English
Spanish
English
SmileSM Basic Voluntary 75/1000/No Ortho/MAC/NR English
Spanish
English
SmileSM Basic Voluntary 50/1000/No Ortho/MAC English
Spanish
English
SmileSM Basic Voluntary 50/1500/Ortho/U80 English
Spanish
English
SmileSM Basic Voluntary 50/1000/No Ortho/U80/NWP English
Spanish
English

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