2019 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. Blue Value Dental plans have no participation requirements - you can add one to your medical plan or purchase one separately.
- 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.
- Our plans offer 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 (Age 30 with rider).
***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 (19 and above) have coverage for cosmetic orthodontics (routine braces) subject to a lifetime maximum per member.
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2019 Pediatric & Adult Dental Contracts
2018 Pediatric and Adult Plans
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 (Age 30 with rider).
***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 (19 and above) have coverage for cosmetic orthodontics (routine braces) subject to a lifetime maximum per member.