Blue Shield of California Dental has the following dental coverage plans available: Enhanced Dental PPO 50/1250, Dental PPO, Enhanced Dental PPO 50/2000, Enhanced Dental PPO 50/2000 Lifetime Ortho 1500, and Family Dental PPO.

Blue Shield of California Dental coverage plans

Blue Shield of California Dental PPO networks provide easy access to reputable dentists nationwide as well as discounts on covered dental care. Plans provide benefit options for basic and major dental services with no age limit. Preventive care is covered with no deductible or waiting periods.

Enhanced Dental PPO 50/1250

It covers an estimate of 20% restorative services – fillings and oral surgery costs, an estimate of 50% for removal of impacted tooth, root canal (anterior root canal and molar), crowns, and denture. Orthodontics is not covered.

Dental PPO

Orthodontic procedure covers $2,350 for under age 26, fully banded, two years. There is a 12-month waiting period for these services unless you had prior coverage. Contact Member Services at (888) 271-4880 for more information about obtaining a waiver. Amounts do not accrue toward the calendar-year benefit maximum.

Orthodontic procedure covers $2,650 for age 26+, fully banded, two years. There is a 12-month waiting period for these services unless you had prior coverage. Amounts do not accrue toward the calendar-year benefit maximum.

Enhanced Dental PPO 50/2000

Enhanced Dental PPO 50/2000 has no waiting periods for cleanings, exams and x-rays. It has 6-month waiting period for basic services and 12-month waiting period for major services. If you had prior comprehensive coverage, the waiting periods may be waived.

Enhanced Dental PPO 50/2000 Lifetime Ortho 1500

Enhanced Dental PPO 50/2000 Lifetime Ortho 1500 has no waiting periods for cleanings, exams and x-rays. It has 6-month waiting period for basic services and 12-month waiting period for major services. If you had prior comprehensive coverage, the waiting periods may be waived. It covers an estimate of 20% restorative services – fillings and oral surgery costs, an estimate of 50% for removal of impacted tooth, root canal (anterior root canal and molar), crowns, and denture.

Family Dental PPO

It covers an estimate of 20% restorative services – fillings and oral surgery costs, an estimate of 50% for removal of impacted tooth, root canal (anterior root canal and molar), crowns, and denture. Orthodontic treatment covers 50% for underage (19) beneficiaries when medically necessary, not covered for age 19+.

Looking for a dentist accepts Blue Shield of California Dental PPO? We accept Blue Shield of California Dental PPO.

Blue Shield of California Dental tooth extraction cost coverage?

According to Blue Shield of California Dental, an estimate of 80% of basic services like simple extractions are covered. The waiting period is 6 months. BlueShield of California Dental considers tooth extractions as a basic dental service. That implies that they are insured by all of their plans, both individual and family plans.

Blue Shield of California Dental covers Wisdom teeth removal?

Blue Shield of California Dental covers an estimate of 50% of major dental procedures like wisdom teeth removal. The waiting period is 12 months. Certain Blue Shield of California Dental insurance plans will also pay for post-operative care, including follow-up visits and prescriptions for painkillers. Before having your wisdom teeth removed, make sure you speak with your insurance provider to find out exactly what is covered by your plan.

Does Blue Shield of California Dental cover X-Rays?

According to Blue Shield of California Dental, routine dental x-rays are 100% covered while non-routine x-rays are estimated to be covered by 80% after plan deductible.

Blue Shield of California Dental covers Braces?

Blue Shield of California Dental may cover part of the braces procedure depending on your specific plan and coverage. Please give us a call to find out what might be covered for your specific situation.

Is Invisalign covered by Blue Shield of California Dental?

Yes. Blue Shield of California Dental does offer insurance plans that cover Invisalign and other orthodontic needs. You’ll need to review your coverage to confirm it is part of your current plan.

What does Blue Shield of California Dental cover for dental implant?

Blue Shield of California Dental offers coverage for major restorative procedures like dental implants. Dental implants, implant abutments, and implant crowns for adult, adolescent, and transitional teeth may be covered by Blue Shield of California Dental PPO policies. Before proceeding, it’s crucial to comprehend the kind of treatment you require and what your dental insurance plan will cover. For details, consult the Blue Shield of California Dental plan handbook or contact our dental office.

Dental implant surgical implantation service is limited once each year, with replacement services limited to one implant surgical replacement per 10 years. Replacement is only allowed after 5 years if a prosthesis over an implant is unserviceable and cannot be fixed.

Does Blue Shield of California Dental cover dentures?

According to Blue Shield of California Dental, an estimate of 50% of major services like dentures are covered with a waiting period of 12 consecutive months. However, a full or partial denture will not be covered in some policies unless it includes the replacement of a functioning natural tooth extracted while the person is covered under the plan (the removal of only a permanent third molar will not qualify a full or partial denture for benefit under this provision).

How much does Blue Shield of California Dental cover for Veneers?

Unfortunately, Blue Shield of California Dental insurance plans doesn’t provide coverage for cosmetic procedures. This consists of smile makeovers such as labial veneers (laminates), porcelain veneers, and acrylic veneers.

Blue Shield of California Dental accepted for Gum Grafts?

Most oral surgeries, including gum grafting, are covered by Blue Shield of California Dental up to an estimate of 50%. Please contact us to learn more about what your plan might cover for your specific situation.

Does Blue Shield of California Dental cover Cleaning and Tooth Fillings?

Blue Shield of California Dental offers 100% or full coverage for routine cleanings with no waiting period. Coverage for dental prophylaxis or dental cleanings are allowed for 14 years of age or older once per 6 consecutive month period. On the other hand, fillings are estimated to be covered by 80% after plan deductible with a 6-month waiting period. Replacement of an existing composite filling is payable if at least 12 consecutive months have passed since the existing tooth filling was placed. This applies to the replacement of identical surface fillings only.

For latest information, please visit: https://www.blueshieldca.com/bsca/bsc/wcm/connect/broker/broker_content_unauth_en/largegroups/dental for more details. DISCLAIMER: This information is subject to change on behalf of the insurance company. We are providing this as an informal guide to help you determine which services at our office are covered by your insurance. For more detailed information, please see the insurance company’s website or call the customer service or member services number listed on most insurance ID cards. Updated as of 3/27/2023. The above logo & trademarks are property of Blue Shield of California Dental.