Blue Shield Individual & Family Dental Plans
Blue Shield offers affordable and comprehensive dental plans available to clients with and without a Blue Shield health plan.1
They also offer a dental and vision plan package, Specialty DuoSM,* which includes comprehensive dental and vision coverage.
Blue Shield’s dental provider networks are among the largest in the state. The dental PPO plans include nearly 47,000 providers in California and nearly 400,000 nationwide. The dental HMO network includes more than 22,000+ providers in California. Check out the dental network map for an overview of county coverage.
PPO
Dental
- No waiting period for diagnostic or preventive services
- Covered diagnostic and preventive services, such as X-rays and routine cleanings, do not count toward the annual coverage limit for dental PPO and Specialty Duo dental plans, providing 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
- 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
- Coverage even when your clients use a non-network dentist. Our plan reimburses your clients up to an allowed amount for covered services, and your clients pay the remaining balance of the total billed charges.
HMO
- No deductibles and no calendar-year maximums
- Orthodontic services available with or without a 12-month waiting period, for both children and adults
- Affordable fixed copayments for basic and major services
- Specialty care available with a referral from a primary dentist
Graphic showing Networks in CA
2021 Evidence of Coverage || 2021 Dental Benefit Summaries || 2021 Specialty Plans at a Glance
Importance of Dental Coverage
Dental & General Health
Insurance 101?
We suggest that you check out Life Insurance, Disability, Long Term Care and Retirement as these risks may cause much more financial devastating to your budget than dental bills.
I don't quite agree on the individual vs group rates & benefits - also group plans are income tax free - section 106
On the other hand - Sacramento Truck driver sudden dealth from tooth infection Sacramento Bee 1.31.2017
Picture of Oral Health
Steve on buying, shopping and best use of premium dollars
Dental Insurance VIDEO
MORE VIDEOS
- Why Buy Dental Insurance?
VIDEO - What dental Insurance... should I buy???
VIDEO - When people ask, what dental insurance plan should I buy,The video from the dentist above says he's tempted to answer, "None of them".
But that's not a very helpful answer, so in this video the dentist attempts to give you some guidance about things to consider before buying a dental insurance plan. Keep in mind that there also are finance plans available if you decide to go that route. And, you should not be shy about negotiating with your dentist regarding his or her fee for the services that you need.
Dental For #Everyone,
has an excellent website with full brochures, Instant online quoting and enrollment
- One of our colleagues on how Dental for Everyone Works.
- Sample Quote
- Blue Cross Dental & Vision
- Dental with the new Extra & Innovative Medi Gap Plans Plan F Extra – Dental
- Blue Shield Medicare Advantage Dental & Vision
Dental Benefit Summaries
| Dental HMO | English (PDF, 250KB) |
| Dental Standard HMO | English (PDF, 155KB) |
| Plan name | Benefit summaries |
|---|---|
| Dental PPO | English (PDF, 2MB) |
| Specialty DuoSM Dental | English (PDF, 2MB) |
| Enhanced Dental PPO 25/500 | English (PDF, 145KB) |
| Enhanced Dental PPO 50/1250 | English (PDF, 145KB) |
| Enhanced Dental PPO 50/2000 | English (PDF, 2MB) Spanish (PDF, 1.7MB) |
| Enhanced Dental PPO 50/2000/Lifetime Ortho 1500 | English (PDF, 2MB) Spanish (PDF, 1.7MB) |
| Plan name | Benefit summaries |
|---|---|
| DMHC Disclosure | English (PDF, 2MB) |
| CDI DisclosureImportant Legal Information Booklet ( | English (PDF, KB) |
Broker Page for Dental on Blue Shield Site
PAPER APPLICATION – but ONLINE is better
Best would be to use your Blue Shield MEMBER PORTAL!
Blue Shield Provider #Finder -
Dentists, Doctors & Hospitals
VIDEOS
- Finding or changing MD with Trio Plan VIDEO
- Blue Shield Exclusive PPO Your new ppo * PPO Primary MD FAQ’s * has 50k+ doctors and 320 hospitals statewide, plus Blue Card benefits out of state & country. 2020 Agent Guide * Member Outreach Bulletin *
- How to use the Finding a provider tool above VIDEO
- Understanding Your Plan pdf
- Nurse Help 24/7, Heal and Teladoc save on prescriptions ER vs. urgent care.
- Get the most from your health care plan VIDEO
- Use your online account to review claims, copays or deductibles and take advantage of other member benefits.
- Explanatory VIDEOS on everything... from Blue Shield
- Medicare Advantage Provider Print Directories BROKER ONLY
- Late Bloomers – Medicare – VIDEO
- Enroll and get full details on our
Resources, More Info & Links
More detailed information – dental benefit summaries.
– dental benefit summaries. Specialty Duo – Dental Portion Summary of Benefits Vision Summary of Benefits
2018: Ultimate Vision 15/25/120
| Specialty DuoSM
If any of the above links require a password, email us and we will send you the brochure.
Related Pages in Blue Shield and Dental Section
May add it to my blue shield plan [Covered CA Health Insurance]?
Can you help me?
May I choose my dentist?
Yes, dental can be added to your health insurance plan with Blue Shield.
We are here to help you. Blue Shield pays us for that.
You can choose any dentist for a PPO plan, but you get paid best when you use a dentist in the network. For HMO you pick a dentist from the list.