2022 Pediatric and Adult/Family 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 Highmark Blue Shield of Northeastern NY Individual or Family plan, or separately.
- 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.
- Blue Value Dental plans offer a range of coverage including braces for children and adults (see Blue Value Dental 3).
- You have the flexibility to see out-of-network dentists.
Note: Members can receive dental services from a provider who does not participate in the Blue Shield 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 New York State of Health Marketplace.
**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.
2021 Pediatric & Adult/Family Dental Plans
Note: Members can receive dental services from a provider who does not participate in the Blue Shield 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 New York State of Health Marketplace.
**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.