Pediatric Dental and Vision

Pediatric Dental and Vision are Mandatory essential benefits under Section “J” 42  USC  18022  SB 951, even if there are no children on the policy.  If there are no children, you are not getting charged.

Pediatric Dental Schedule 
Click above link to view the rest of the details!

Pediatric Dental Schedule

Resources & Links

Covered CA Website -Children’s Dental Coverage

Adult – Family Dental Plans – Scroll down to see explanation on when a child should have both the mandatory coverage and additional coverage.

Blue Shield Trio HMO  EOC Evidence of Coverage 2019 Page 50 for Dental & 112 for Vision

HBEX Pediatric Policy Brief  11 pages 7.17.2013  PDF

Blue Shield Graphic on Pediatric Dental & Vision

Covered CA – Ask us [email protected] or log into your account and click on Select Dental Plan in right hand side under Actions

Dental Dental Video 
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Pediatric Dental

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Related Pages in Adult Dental – Vision Section

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One comment on “Child Dental & Vision

  1. I am a 60 yr. old mother of adult children, no minors are covered under my individual policy, so how on earth can Pediatric Dental be “mandatory”,

    That’s the law. Everyone has to have it. It’s an essential benefit. You are also required to have maternity.  There is no charge for the dental though.  

    It is a question of principle, not $6.89 additional monthly fee!

    How come this fee is being padded after the contract was signed last year?

    There is not a single thing, in my opinion, that has gone right with the roll out of Health Care Reform.

    See my SNAFU page I’m doing twice or more work with less than ½ the pay. I especially resent that Covered CA (CC) advertising does not mention that one can buy from an agent. Worse, so many people think they can only buy from CC and only CC provides guaranteed issue. So, I’m certainly not making it up on volume. The policy is effective Jan 1, 2014.

    No one mentioned this earlier. It was the law though. For some reason, CC policies do not currently include pediatric dental, nor do I believe it’s available! After months of repeated requests and no resolution to auto payment, now someone decides to add mandatory fee retroactively and initiate auto payment. This is not right!   It is unfair and a dishonest act. If the fee became mandatory after the policy was issued, wait till the renewal date of the policy at the end of 2014 and then add this fee.

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