Smile: We've got your dental plan
Protect your smile with one of our PPO or HMO dental plans available directly through Blue Shield or through Covered California. No matter where you purchase your Blue Shield dental plan, you’ll enjoy a range of dental benefits including exams, cleanings, and x-rays for $0. And with some of the largest dental networks in California, you can count on the choice you expect.
Call 888-273-4546 to talk to a licensed dental expert or to enroll.
Not sure which plan to choose?
- HMO plans generally have lower monthly premiums and lower out-of-pocket costs for services compared with PPO plans. However, your choice in dentists is more limited.
- PPO plans generally have higher monthly premiums and higher out-of-pocket costs for services compared with HMO plans. However, PPO plans offer a larger selection of dentists to choose from.
- The Family Dental PPO plan and Family Dental HMO plan are only available through Covered California. You must be enrolled in a medical plan through Covered California to qualify.
You can even add a vision plan for as little as $6.90 per month to round out your coverage.
Compare 2024 plan benefits
Bolded values = Benefit is subject to a deductible
| Dental Standard HMO | Dental HMO | Dental PPO | Specialty DuoSM Dental + Vision package* | Dental PPO 1500 |
Enhanced Dental PPO 50/2000 | Enhanced Dental PPO 50/2000 Lifetime Ortho 1500 | Family Dental HMO | Family Dental PPO | |
|---|---|---|---|---|---|---|---|---|---|
| Age: | 0-25,** 26+ | 0-25,** 26+ | 0-25,** 26+ | 0-25,** 26+ | 0-25,** 26+ | 0-25,** 26+ | 0-25,** 26+ | 0-18,** 19+ | 0-18,** 19+ |
| Monthly rates starting at:† | $12.50, $15.50 | $23.70, $25.90 | $39.10, $46.20 | $43.50, $51.20 | $45.50, $53.80 | $53.10, $68.50 | $57.70, $74.30 | $14.00, $13.40 | $28.80, $43.70 |
| Benefit | With participating providers, members pay:1 | ||||||||
| Diagnostic and preventive services | $0 | $0 | $02 | $02 | $02 | 0% | 0% | 0% | $02 |
| Restorative services – fillings (resin-based composite – one surface, anterior) | $20 | $18 | $373 | $373 | $373 | 20%4 | 20%4 | $30 | 20% |
| Oral surgery (extraction of erupted tooth or exposed root elevation and/or forceps removal | $40 | $34 | $403 | $403 | $403 | 20%4 | 20%4 | $65 | 50%4 |
| Removal of impacted tooth (complete bony) | $225 | $125 | $1133 | $1133 | $1133 | 20%5 | 50%5 | $160 | 50%4 |
| Root canal (retreatment of previous root canal therapy – anterior) | $175 | $245 | $1563 | $1563 | $1563 | 50%5 | 50%5 | $245 | 50%4 |
| Root canal (endodontic therapy, molar tooth – excluding final restoration) | $355 | $290 | $2343 | $2343 | $2343 | 50%5 | 50%5 | $300 | 50%4 |
| Crowns (porcelain fused to high noble metal) |
$3506 | $3006 | $3205 | $3205 | $3204 | 50%5 | 50%5 | $300 | 50%4,6 |
| Orthodontics | $2,350 for under age 19, fully banded, two years $2,650 for age 19+, fully banded, two years |
$2,350 for under age 19, fully banded, two years $2,650 for age 19+, fully banded, two years |
$2,350 for under age 19, fully banded, two years5,7 $2,650 for age 19+, fully banded, two years5,7 |
$2,350 for under age 19, fully banded, two years5,7 $2,650 for age 19+, fully banded, two years5,7 |
$2,350 for under age 19, fully banded, two years4,7 |
Not covered | 50% ($1,500 lifetime maximum and subject to separate deductible)5,7,8 | $350 for under age 19 when medically necessary, not covered for age 19+ | 50% for underage 19 when medically necessary, not covered for age 19+ |
| Denture (complete upper or lower) | $400 | $400 | $3885 | $3885 | $3884 | 50%5 | 50%5 | $300 for under age 19, $400 age 19+ | 50%4 |
| Calendar-year deductible | $0 | $0 | $50 per individual | $50 per individual | $50 per individual | $50 per individual/$150 per family | $50 per individual/$150 per family | $0 | $75 per individual/$150 per family for up to age 19, $50 per individual for age 19+ |
| Calendar-year benefit maximum |
None | None | $1,000 per individual | $1,000 per individual | $1,500 per individual | $2,000 per individual | $2,000 per individual | None | None for under age 19, $1500 per individual age 19+ |
* Underwritten by Blue Shield of California Life & Health Insurance Company. This plan also includes vision coverage.
† Monthly rates vary by age, plan and region
** Rate per child for first 3 children – no cost for 4th child and beyond
1. The amounts indicated are a percentage of the allowed charges. Network providers accept Blue Shield’s allowed charges as payment in full for covered services.
2. Diagnostic and preventive services do not apply to the calendar-year benefit maximum for this plan.
3. There is a three-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.
4. There is a six-month waiting period for these services unless you had prior coverage.
5. 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.
6. If precious metals are used, the member will be charged at the dentist’s cost. For Dental HMO, porcelain on molar teeth is subject to an additional charge of $75.
7. Amounts do not accrue toward the calendar-year benefit maximum.
8. Lifetime maximum is per person. Deductible is $50 per person or $150 per family.
Page last updated: 10/01/2023
