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

PPO 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.

HMO plans

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.

Covered California enrollees

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

$2,650 for 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.

Find a vision plan

* 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

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