2018 Pediatric & Adult/Family Dental Plans
BlueShield of Northeastern New York offers stand-alone pediatric and adult dental plans for small groups. Our plans provide essential health benefits to ensure members receive comprehensive oral health coverage through our own dental network.
- Pediatric Dental is an Essential Health Benefit as outlined in the Affordable Care Act.
- Groups can choose one Blue Value dental plan to offer their employees in addition to Blue Pediatric dental.
- Blue Value dental plans include Blue Pediatric dental benefits and coverage for adults and adult dependents aged 19 to 26 years.
- Flexibility to see out-of-network dentists.
Note: Members can receive dental services from a provider who does not participate in the BlueShield contracted network of providers. Out-of-network services are reimbursed at 100% of the in-network fee schedule and the non-participating provider may balance bill the member for the remainder.
*Available on SHOP
**Blue Pediatric Dental benefits and cost-sharing are included in all Blue Value Dental plans. Blue Value Dental plans also cover adult dependents aged 19 to 26 years.
***Blue Value Dental 3 includes coverage for children up to age 19 for medically necessary orthodontics subject to an out-of-pocket maximum (see Blue Pediatric Benefits) and cosmetic orthodontics (routine braces) subject to a lifetime maximum per member. Adults and adult dependents have coverage for cosmetic orthodontics (routine braces) subject to a lifetime maximum per member.