BlueShield of Northeastern New York

Dental

Dental care is important to your overall health. That's why we offer a comprehensive network of dental providers available in your network. 

Looking for a dentist?

 

Find a eye doctor

 

Use our Find a Provider tool for our Pediatric & Adult Dental Plans - You can search by specialty, zip code, city, county or state. Just select ‘Dental Providers’ in the dropdown.

 

Find a dentist

Ready to enroll in a plan?

 

Find glasses

 

Call us at 1-800-888-5407 and we’ll help you find the plan that’s right for you.


 

Find a dental plan

2017 Pediatric & Adult Dental Plans

Dental care is important to your overall health. That's why our dental plans include comprehensive oral health coverage. You can purchase a dental plan with your BlueCross BlueShield individual or family plan, or separately.

  • New for 2017 - Blue Value Dental 3, a richer plan with coverage for cosmetic orthodontics (routine braces) for children and adults.
  • Blue Pediatric dental benefits and cost-sharing are included in all Blue Value dental plans. Pediatric Dental is an essential health benefit as outlined in the Affordable Care Act.
  • You have the flexibility to see out-of-network dentists.
View Pediatric & Adult Plans
 

Blue Pediatric Dental* (PPO)

Blue Value Dental 1* (PPO)

Blue Value Dental 2 (PPO)

Blue Value Dental 3***(PPO)

Monthly Premium

$22.06 (per child)

$22.57 (one adult)
$45.14 (two adults)
$57.47 (subscriber and child(ren))
$92.14 (family)

$30.44(one adult)
$60.88 (two adults)
$69.70 (subscriber and child(ren))
$113.54 (family)

$34.84(one adult)
$69.68 (two adults)
$78.38 (subscriber and child(ren))
$128.03 (family)

Benefits

Children to age 19 years

Adult/Family**

Adult/Family**

Adult/Family**

Deductible (embedded)

N/A

$50 per member/$150 family maximum (per calendar year)

$50 per member/$150 family maximum (per calendar year)

$50 per member/$150 family maximum (per calendar year)

Annual benefit maximum

N/A

$750 per member per calendar year

$1,250 per member per calendar year

$1,500 per member per calendar year

Out-of-pocket maximum

$350 - 1 child, $750 - 2 or more children (per calendar year)

N/A

N/A

N/A

Orthodontic Lifetime Maximum (pediatric and adult cosmetic - routine braces)

N/A

N/A

N/A

$1,000 per member per lifetime

Preventive/diagnostic care (exam, cleaning, x-rays)

$20 copayment

$0 copayment

$0 copayment

$0 copayment

Basic restorative (fillings, extractions, periodontics, endodontics)

50% coinsurance

50% coinsurance after deductible

20% coinsurance after deductible

20% coinsurance after deductible

Major dental (bridges, crowns, dentures)

50% coinsurance

50% coinsurance

50% coinsurance

50% coinsurance

Orthodontic services (medically necessary)

50% coinsurance applies to children age 19

50% coinsurance applies to children age 19

50% coinsurance applies to children age 19

50% coinsurance applies to children age 19

Orthodontic services (cosmetic - routine braces)

N/A

N/A

N/A

50% coinsurance applies to children and adults

*Available on NY State of Health Marketplace

 

**Blue Pediatric dental benefits and cost-sharing are included in all Blue Value dental plans. Pediatric Dental is an essential health benefit as outlined in the Affordable Care Act. As an insurer, we are required to make our best efforts to ensure that you obtain this coverage. 

 

***Blue Value Dental 3 includes coverage for children to age 19 for medically necessary orthodontics subject to an out-of-pocket maximum and cosmetic orthodontics (routine braces) subject to a lifetime maximum per member. Adults and adult dependents (19 to 26 years) have coverage for cosmetic orthodontics (routine braces) subject to a lifetime maximum per member. 

Ready to enroll?

 

Call us at 1-800-700-8482 and we'll help you find the plan that's right for you.

Frequently Used Tools

>Find a Doctor or Facility

>Find a Pharmacy or Prescription Drug

>Find a Lab

>Find a Vision Provider

>Find a Dental Provider

>View the Medicare Provider and Pharmacy Directory
 

*If you would like a copy of the provider directory mailed to you please call customer service at 1-800-329-2792, TTY 711. We are available Oct. 1 - Feb. 14, 8 a.m. to 8 p.m., 7 days a week, Feb. 15 - Sept. 30, 8 a.m. - 8 p.m., Mon. - Fri.

 


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