We've got your dental plan
With a Blue Shield dental plan, you’ll enjoy a range of dental benefits including exams, cleanings, and X-rays for $0. Apply online or call
(888) 273-4546 today!
Compare plans
Dental PPO plans generally have higher monthly premiums and out-of-pocket costs for services compared to HMO plans, but you get a larger selection of dentists to choose from.
Dental HMO plans have a smaller network of dentists compared to PPO plans, but offer lower monthly premiums and out-of-pocket costs for services.
Those who have a medical plan through Covered California can also purchase a Blue Shield Family Dental PPO or Family Dental HMO plan during open enrollment.
Compare 2025 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:† | $13.20, $16.40 | $25.00, $27.40 | $41.70, $49.20 | $46.00, $54.20 | $48.00, $56.80 | $56.10, $72.30 | $60.90, $78.50 | $14.60, $14.00 | $30.10, $45.70 |
| 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 | $3204 | $3204 | $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 years4,7 $2,650 for age 19+, fully banded, two years4,7 |
$2,350 for under age 19, fully banded, two years4,7 $2,650 for age 19+, fully banded, two years4,7 |
$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 | $3884 | $3884 | $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+ |
Add a vision plan
You can also get a vision plan for as little as $6.90 per month to round out your coverage.
* 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: 10/01/2024
