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Blue Shield of California Stand Alone Smile Dental PPO Plans...

Blue Shield Dental PlanBlue Shield Dental PlansBlue Shield of California now offers a range of affordable and comprehensive dental plans available to residents of California with or without a Blue Shield health plan. With Blue Shield's broad dental network including nearly 20,000 dental PPO providers and more than 8,600 HMO providers in California it is easy to access one of the largest networks in California.

Blue Shield offers two new PPO dental plans to choose from. The new Smile PPO and the Value Smile PPO dental plans both provide you affordable options to help you stay healthy now and avoid costly dental expenses in the future. The savings you will receive with the Smile PPO plan keep the cost of dental work from taking a deep bite our of your wallet later. The Value Smile PPO plan provides preventive, diagnostic, and some minor restorative services designed to aid in reduction of future costly services.

The Smile Dental PPO Plan Features

  • Wide range of dental benefits, including most diagnostic and preventive services at no additional cost when using a network provider.
  • Coverage even when you use a non-network dentist. The plan reimburses members up to an allowed amount for covered services and members pay the remaining balance of the total billed charges
  • No waiting period for diagnostic or preventive services (there's a 3-month waitng period for minor services and 12-month waiting period for major restorative and orthodontic services)
  • Affordable copayments for basic and major services
  • Orthodontic benefits are available for both children and adults
  • A $50 deductible per member, per calendar year
  • A $1,000 per member per calendar-year benefit maximum, of which $500 per member per year can be used for non-network benefits

Humana One Vision Care Insurance

Anthem Medicare SupplementsThe Value Smile PPO Features

  • No charge for preventive and diagnostic services when using network provider
  • Coverage even when you uses a non-network dentist. The plan reimburses members up to an allowed amount for covered services and members pay the remaining balance of the total billed charges
  • No waiting periods
  • Affordable copayment for basic services
  • A $25 deductible per member, per calendar year
  • A $500 calendar year benefit maximum per member
Blue Shield dental plans - Smile PPO and Value Smile PPO plans
Monthly Rates
April 2009
Smile PPO - provides comprehensive dental benefits at an attractive rate. Value Smile PPO - provides preventive and diagnostic dental care, plus some minor restorative
Adult/child $39.70 $21.40
Adult and spouse/domestic partner $83.90 $45.30
Adult and child $60.10 $32.40
Adult and children $89.50 $48.40
Family $139.50 $75.30
HTH Worldwide

Blue Shield of California Dental Application Process

HOW TO APPLY:Credit Card Authorization Form

To the right are two color brochures and links to the applications for the Individual Smile Dental plans from Blue Shield of California. To apply for coverage simply download, print, complete and FAX both forms with payment information FAX # (415) 651-8696.:

  1. Select Dental Plan of choice
  2. Download & Print the application file - You cannot apply for a STAND ALONE Dental plan online - you must print, complete and FAX the application to us.
  3. Complete the applications and FAX to (415) 651-8696

MAILING ADDRESS

Application Processing
P O Box 6374
Jackson Hole, WY 83002

FAX # (415) 651-8696

IMPORTANT APPLICATION NOTE

You can apply for the Smile PPO dental plan as a STAND ALONE (by itself) product. You may also request any date as your effective date as long as it is in the future from your signature date. To request a specific date simply write it in at the top margin of the application ("REQUESTED EFFECTIVE DATE XX/XX/09"). All applications must be faxed to us at the FAX number above and the processing time is typically 3-5 business days. Once you are enrolled in the Dental plan you will receive a policy with ID cards in the mail. You may make changes to your billing or account type by calling Blue Shield of California Membership at (800) 431-2809.

 
Other Supplemental Plan Options
 
Temporary Insurance
     
Short Term Medical

For strong Temporary financial protection, choose Short Term Medical from Assurant Health

  • 30 - 180 Days of coverage
  • Inpatient and Outpatient coverage
  • Four deductible options to choose from
  • Choose your co-insurance percentages
  • Lifetime Maximum of $2 million

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Dental Insurance
     
Anthem Dental Blue

Anthem Blue Cross offers a stand alone dental insurance for individuals, families and seniors.

  • Includes cleanings, exams, X-rays at 100%
  • No waiting period for checkups
  • $1,250 Annual Maximum
  • Freedom to go outside PPO network if desired
  • Network with over 19,000 providers

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Dental Insurance

Assurant Health Dental insurance helps pay for dental checkups and treatment. Available as a stand alone plan for individuals and families.

  • Cash benefits help pay for checkups and treatment
  • No waiting period for checkups
  • Visit any dentist - non network restrictions
  • Three dental plans to choose from
  • Pays benefits in first policy year even though waiting period has not been met

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Humana One Dental Preventive Plus

HumanaOne offers Dental Preventive Plus as a stand alone dental plan designed for the individual or family that enjoys overall good dental health.

  • 100%, no deductible preventive care
  • No waiting period for checkups
  • Pays 50% for all Basic Services inside network
  • Enjoy pre-negotiated discounts at network providers

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Anthem Blue Cross Premium Plus Dental

SENIOR DENTAL Premium Plus offers Dental Preventive Plus as a stand alone dental plan designed for the individual or family that enjoys overall good dental health.

  • 100%, no deductible preventive care
  • No waiting period for checkups
  • Pays 80% for all Basic Services inside network
  • $1,250 Annual Benefit per member
  • Enjoy pre-negotiated discounts at network providers

View details

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Accident Insurance
     
Accident Insurance

Accidental injuries catch you off guard, not to mention the costs associated with an accidental injury. But the expense is less of a concern if you have Accident Coverage for Assurant Health.

  • Benefits are paid immediately - no waiting period
  • Over and above any benefits you receive from any other plan
  • No overall annual or lifetime limit - no matter how many accidents you have

View details

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Vision Care
     
HumanaOne Vision Care

HumanaOne offers Vision Care Insurance for individuals that can be added to any insurance plan. Affordable premiums, simple enrollment and no deductible coverage.

  • Low exam co-payments
  • Eyeglass lenses covered 100% after copay
  • $40 wholesale allowance for frames
  • One eye exam per year

View details

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