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Anthem Blue Cross Dental Blue PPO Plans for Individuals and Families..

Quick QuoteAnthem Blue Cross Blue Shield offers dental plans in more than 12 states under the Anthem brand. Each state offers dental plans that are similar in design but they do vary from state to state. This page represents the plans from Anthem Blue Cross in the state of California. If you do not live in California simply select the Anthem state you live in from the menu above. In California you now have more choices for your Dental coverage. Anthem Blue Cross and Anthem BC Life & Health now offers two plan designs. Anthem Dental Blue PPO and Anthem Dental SelectHMOSM plans.

The Dental Blue PPO Plans from Anthem Blue Cross offer you an affordable PPO solution to meet your dental needs - all designed to give you the power to choose. The Dental Blue PPO Network of providers allows access to more than 19,000 participating providers in California and more than 49,000 Dental Blue providers nationwide.

BC Life Dental Blue BrochureTwo PPO Plans to choose from...

Dental Blue Basic - The Dental Blue Basic plan provides coverage for many diagnostic services and preventive care such as cleanings, exams and X-ray, as well as fillings, with an annual maximum of $500.

Dental Blue Enhanced - The Dental Blue Enhanced plan includes cleanings, exams, X-rays and fillings - plus certain major services like root canals, periodontal procedures and crowns, with an annual maximum of $1,250. It also includes orthodontic coverage for children after a 12-month waiting period.

A unique feature of Dental Blue is that members have access to the rates Anthem has negotiated with providers for covered services received during any applicable waiting periods and after the annual maximum has been met. These negotiated rates are available only at in-network providers.

Choice of dentist...

Your dental plan lets you choose any dentist whether or not that dentist is part of Anthem's Dental Blue 100 network. The Dental Blue 100 network currently has more than 19,000 providers and provider locations - so it's likely your dentist participates in their program.

You might pay more when you visit an out-of-network dentist...

While your dental plan lets you choose your dentist, you may end up paying more for a service if you visit an out-of-network dentist. Here's why: In-network dentists have agreed to payment rates for various services and cannot charge you more. On the other hand, out-of-network dentists don't have a contract with Anthem and are able to bill you for the difference between the total amount Anthem allows to be paid for a service - called the "maximum allowed amount" - an the amount they usually charge for a service. When they bill you for this difference, it's called "balance billing"

Apply Now for DentalWho’s Eligible for Blue Cross Dental Plans 

You and your dependents must be California residents. If you enroll in one of the Anthem Blue Cross Dental SelectHMO plans, you and your dependents must select the same participating dental office. Dental providers and locations are different for the Dental Blue plan.  Eligible dependents include:

  • Your lawful spouse
  • Any unmarried child under age 19 of you or your enrolled spouse
  • Any unmarried child, age 19 to 23, of you or your enrolled spouse, who qualifies as a dependent  for federal income tax purposes
  • A child of you or your enrolled spouse, who continues to be both incapable of self- support, due to  continuing mental retardation or physical handicap, and who is at least one-half dependent on you or your spouse for support.

Insurance Simplified BlogSomething to smile about...

With two Dental Blue Individual and Family plans for you to choose from, Anthem Blue Cross is confident you'll find the one that's right for you. Plan benefits, premiums and coinsurance amounts vary, however all offer:

  • Three dental networks, with more than 21,000 participating locations in California to choose from
  • Dental specialists within all networks
  • Deductibles that are waived for covered in-network cleanings, exams and X-rays & sealants
  • No claim forms or paperwork to deal with when visiting an in-network dentist
  • The choice of seeing dentists outside of the Dental Blue network, however you may save more money when you visit a dentist within the Dental Blue network
  • Savings on popular non-covered services such as porcelain veneers, dental implants, TMJ and orthodontics when visiting an in-network dentist
Dental Care Coverage
Dental Blue Basic
Dental Blue Enhanced
Benefits
Network
Non-Network
Network
Non-Network
Annual Deductible
$25 per member
$50 per member; $150 max per family
Waived for Diagnostics & Preventive
Yes
No
Yes
No
Annual Maximum $500 $1,250
Diagnostic & Preventive Network Non-Network Network Non-Network
Cleanings, exams & X-rays 100% 80% 100% 80%
Basic Services Network Non-Network Network Non-Network
Fillings 80% 60% 80% 60%
Other Minor Restorative Not covered Not Covered 80% 60%
Major Services Network Non-Network Network Non-Network
Oral Surgery Not Covered 50%
Endodontics 50%; pulpotomies on primary teeth only 50%
Periodontics Not Covered 50%
Prosthodontics 50%; stainless steel crowns on primary teeth 50%
Orthodontics Not Covered Children only: 50%; $100 deductible; $500 per year; $1,000 lifetime maximum
Waiting period None for cleanings, exams and X-rays; 6 months for all other covered services None for cleanings, exams and X-rays; 6 months for basic services; 12 months for major services / orthodontics

Anthem Blue Cross California
Dental Brochure & Online Application Instructions

HOW TO APPLY:

There are two options to enroll in one of the Anthem Dental Plans. The quickest and easiest is to complete the online enrollment form. If you are ready to apply and you want to complete the process online then click the orange button below. You must be 64 years of age or less to use the online application process.

The second option is to download and complete the enrollment form and fax it to us. To choose this option simply download the appropriate enrollment form below. This includes those who are age 65 or older:

  1. Select Dental Plan from the plans below
  2. Download & Print the correct application file
  3. FAX COMPLETED APPLICATION TO: FAX # (415) 651-8696
Enrolling Online

Enrolling in dental only is easy to do. If you have already determined which Anthem Blue Cross dental plan you are interested in then click on the orange button titled "Apply Online Now" and it will open the Anthem Blue Cross Dental application for you to complete.

If you prefer to download and print the Enrollment form click on the orange button to the right. Complete the application and fax it to us at FAX# (415) 651-8696. Or if you prefer you can scan the application and email it to us at "sales@individualhealth.com". Call with questions (619) 435-6700.

Apply Now for Dental
Download Dental Blue Enrollment Form
Download Enrollment Forms

Anthem Blue Cross Premium Plus DentalDental Only Coverage for Seniors

If you are over the age of 65 Anthem offers a new plan call Premium Plus Dental which is part of the new Anthem Extras Package for seniors. Anthem Extras is a package of benefits designed to compliment your Medicare Supplement plan. Within this package is the Premium Plus Dental Plan that can be applied for as a stand alone (by itself) plan regardles of any other coverage you have. Premium Plus Dental allows you to seek services inside or outside the Anthem Blue Cross network. In California Premium Plus Dental utilizes the Dental Blue 100 Network which is the same network that the Dental Blue plan for under 65 uses. Anthem's networks give you access to more than 20,000 providers in California alone and nealry 60,000 dental providers nationwide.

To see if your dentist participates in the Anthem Dental Network click here. When prompted, choose the Dental Blue 200 network. To view the brochure. Look for the benefit schedule for the "Premium Plus Dental".

Premium Plus Dental lets you choose any dentist whether or not that dentist is part of their network. But you may end up paying more for a service if you visit an out-of-network dentist. It is important to have dental benefits that can help impact your overall health. Anthem's Premium Plus Dental plan offer benefits such as:

  • Coverage for diagnostic and preventive care - which can be key to good long-term oral health
  • Third cleaning or periodontal maintenance procedures are covered for diabetic members on all of the Anthem Extras Packages plan
  • Access to one of the largest dental provider networks in your state
  • Freedom from paper work - network dentists file claims, and there are no referrals needed
  • $1,250 per member per benefit year
  • Dental Blue 100 Network
  • 100% Diagnostic and Preventive Services when using a network provider

How to Enroll in the Premium Plus Dental Only..

Simply download the enrollment form from the orange button below and complete the application selecting the "Premium Plus Dental" option and Download nowbe sure to select an effective date for coverage to begin. Fax your completed application to us at FAX# (415)651-8696. If you prefer you can save the application as a pdf file and email it to us at "sales@individualhealth.com"

 
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