Dental Blue
Dental Blue from Anthem Blue Cross offers affordable PPO solutions to meet your dental needs - all designed to give you the power to choose.
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An ounce of prevention …
A healthy mouth is more than a great smile. And regular dental visits pay a more important role in your overall health than you may think. Dentists not only help your teeth look good, they may also detect early warning signs of more serious health problems, like heart disease and diabetes. So putting off going to the dentist just doesn’t make sense. That’s why Anthem Blue Cross created Dental Blue, dental coverage designed to keep you happy and healthy.
Print Dental Blue Application and fax it to: 916-914-2251(fax)
|
|
Dental Blue 100 Basic |
Dental Blue 100 Plus |
Dental Blue 200 Plus |
Dental Blue 200 Essential |
|
Annual Deductible |
$25 |
$50 |
$50 |
$50 |
|
Annual Maximum |
$500 |
$1000 |
$1000 |
$1000 |
|
Preventive / Diagnostic |
100% |
100% |
100% |
100% |
|
Basic Services |
80% filings, 50% crowns |
80% |
80% |
Fee Schedule |
|
Major Services |
Not covered |
50% |
50% |
Fee Schedule |
|
Orthodontics |
Not covered |
Not covered |
Not covered |
Not covered |
|
Waiting Periods |
None |
6 months Major Svc. |
3 Mos Basic |
3 Mos Basic |
Give yourself something to really smile about - choose Dental Blue.
- Two Networks - Dental Blue 100 and Dental Blue 200.
- Four Dental Blue Plans.
- Several price points.
Whether you choose a Dental Blue 100 or Dental Blue 200 plan, you have the power to visit any dentist or specialist in either of the two Dental Blue networks (or even in our larger Dental Blue 300 network) and still be considered “in-network.”
View Dental Blue Brochure & Application
| Dental Blue 100 Basic |
Area 1 |
Area 2 |
Area 3 |
Area 4 |
Area 5 |
Area 6 |
Area 7 |
Area 8 |
Area 9 |
| Subscriber |
$15 |
$14 |
$15 |
$15 |
$14 |
$14 |
$14 |
$14 |
$14 |
|
Subscriber & Spouse |
29 |
29 |
30 |
30 |
29 |
28 |
28 |
28 |
28 |
|
Subscriber & Child |
23 |
23 |
24 |
24 |
23 |
23 |
22 |
23 |
23 |
|
Subscriber & Children |
35 |
34 |
35 |
36 |
34 |
33 |
33 |
34 |
34 |
|
Family |
48 |
47 |
49 |
49 |
47 |
46 |
46 |
46 |
46 |
|
1 Child |
9 |
9 |
9 |
9 |
9 |
8 |
8 |
8 |
8 |
|
2 Children |
17 |
17 |
18 |
18 |
17 |
17 |
17 |
17 |
17 |
|
3+ Children |
28 |
26 |
27 |
27 |
26 |
25 |
25 |
25 |
25 |
| Dental Blue 200 Essential |
Area 1 |
Area 2 |
Area 3 |
Area 4 |
Area 5 |
Area 6 |
Area 7 |
Area 8 |
Area 9 |
|
Subscriber |
$34 |
$34 |
$34 |
$36 |
$34 |
$33 |
$33 |
$33 |
$34 |
|
Subscriber & Spouse |
69 |
68 |
69 |
71 |
68 |
67 |
67 |
67 |
67 |
|
Subscriber & Child |
55 |
54 |
55 |
57 |
54 |
53 |
53 |
53 |
54 |
|
Subscriber & Children |
81 |
80 |
81 |
84 |
81 |
79 |
79 |
79 |
79 |
|
Family |
112 |
110 |
112 |
116 |
111 |
109 |
109 |
109 |
109 |
|
1 Child |
20 |
20 |
20 |
21 |
20 |
20 |
20 |
20 |
20 |
|
2 Children |
41 |
40 |
41 |
42 |
41 |
40 |
40 |
40 |
40 |
|
3+ Children |
61 |
61 |
61 |
64 |
61 |
60 |
60 |
60 |
60 |
| Dental Blue 100 Plus |
Area 1 |
Area 2 |
Area 3 |
Area 4 |
Area 5 |
Area 6 |
Area 7 |
Area 8 |
Area 9 |
|
Subscriber |
$36 |
$35 |
$38 |
$38 |
$35 |
$34 |
$34 |
$34 |
$34 |
|
Subscriber & Spouse |
71 |
71 |
75 |
75 |
70 |
68 |
67 |
68 |
68 |
|
Subscriber & Child |
57 |
57 |
60 |
60 |
56 |
54 |
54 |
55 |
55 |
|
Subscriber & Children |
84 |
84 |
89 |
89 |
83 |
81 |
80 |
81 |
81 |
|
Family |
116 |
115 |
123 |
123 |
114 |
111 |
110 |
111 |
111 |
|
1 Child |
21 |
21 |
22 |
22 |
21 |
20 |
20 |
20 |
20 |
|
2 Children |
42 |
42 |
45 |
45 |
42 |
41 |
40 |
41 |
41 |
|
3+ Children |
64 |
63 |
67 |
67 |
63 |
61 |
60 |
61 |
61 |
|
Dental Blue 200 Plus |
Area 1 |
Area 2 |
Area 3 |
Area 4 |
Area 5 |
Area 6 |
Area 7 |
Area 8 |
Area 9 |
|
Subscriber |
$42 |
$42 |
$44 |
$44 |
$42 |
$40 |
$40 |
$41 |
$41 |
|
Subscriber & Spouse |
84 |
83 |
87 |
89 |
83 |
81 |
80 |
81 |
81 |
|
Subscriber & Child |
67 |
67 |
70 |
71 |
66 |
65 |
64 |
65 |
65 |
|
Subscriber & Children |
100 |
99 |
103 |
105 |
99 |
96 |
95 |
96 |
96 |
|
Family |
137 |
136 |
142 |
145 |
135 |
132 |
131 |
132 |
132 |
|
1 Child |
25 |
25 |
26 |
27 |
25 |
24 |
24 |
24 |
24 |
|
2 Children |
50 |
50 |
52 |
53 |
50 |
48 |
48 |
48 |
48 |
|
3+ Children |
75 |
75 |
78 |
80 |
74 |
72 |
72 |
73 |
73 |
Dental Blue Area 1: Del Norte, Lassen, Modoc, Monterey (except 93451, 95076), Pumas (except 95981), San Benito (93930, 95004 only), San Luis Obispo (93426 only), Shasta, Sierra (except 95922, 95960), Siskiyou, Tehema (except 95526).
Dental Blue Area 2: Alameda (95304, 59377, 95391 only), Alpine, Amador, Calaveras, El Dorado, Freson (except 93245, 93618), Inyo (except 93527), Kings (93242, 93631, 93656 only), Madera, Marin, Mariposa, Merced, Mono, Nevada (except 95977), Placer (except 95668, 95692), Sacramento (except 94571), San Benito (except 93930, 95004), San Joaquin (except 94514), San Mateo, Santa Clara (94303, 95023 only), Sierra (95960 only), Solano (95690 only), Stanislaus, Sutter (95626, 95648, 95837 only), Tulare (93631, 93641, 93646, 93654 only), Tuolumne, Yuba (95960 only).
Dental Blue Area 3: Alameda (except 95304, 95377, 95391), Butte, Colusa, Contra Costa, Glenn, Humboldt, Lake Mendocino, Monterey (95076 only), Napa, Nevada (95977 only), Placer (95668, 95692 only), Plumas (95981 only), Sacramento (94571 only), San Francisco, San Joaquin (94514 only), Santa Clara (except 94303, 95023), Santa Cruz, Sierra (95922 only), Solano (except 95690), Sonoma, Sutter (except 95626, 95648, 95837), Tehama (95963, 95973 only), Trinity (95526 only), Yolo, Yuba (except 95960).
Dental Blue Area 4: Los Angeles (90623, 90630, 90631 only), Orange (except 90638), riverside (92883 only).
Dental Blue Area 5: Los Angeles (except 93243 and except Zip codes beginning with 906-912, 915, 917, 918 & 935), Ventura (90265 and Zip codes beginning with 913 only).
Dental Blue Area 6: Imperial, Kern (93558 only), Los Angeles (91709 only), riverside (except 92883), San Bernardino (except 91766, 91792, 93516, 93555), San Diego.
Dental Blue Area 7:Fresno (93245, 93618 only), Inyo (93527 only), Kern (except 93536, 93558), Kings (except 93242, 93631, 93656), Los Angeles (93243, 93560 only), San Bernardino (93516, 93555 only), San Luis Obispo (93252 only), Santa Barbara (93252 only), Tulare (except 93631, 93641, 93646, 93654), Ventura (93252 only).
Dental Blue Area 8: Monterey (93451 only), San Luis Obispo (except 93252, 93426), Santa Barbara (except 93252), Ventura (except 90265, 93252, and Zip codes beginning with 913).
Dental Blue Area 9: Kern (93451 only), Los Angeles (Zip codes beginning with 906-912, 915, 917, 918 & 935 except 90623, 90630, 90631, 91709, 93560), Orange (90638 only), San Bernardino (91766, 91792 only).
To Apply simply:Dental Blue Application the fax it to: 916-914-2251(fax).
Get reimbursed if you go out of your Dental Blue network too.
You also have the freedom to visit a dentist outside of our Dental Blue network altogether if you want. Keep in mind, however, you will usually save the most money when you visit a dentist within the Dental Blue network you selected.
It’s easy to stay in-network, because Dental Blue has the largest PPO dental network in California.
A Network of Specialists.
The time might come when you need or want a specialist - like an oral surgeon, an endodontist or periodontist. At times like this, it’ll be good to know that all of the Dental Blue specialists participate in all of the Dental Blue networks. No referrals necessary!
If you already have a dentist you like and don’t want to switch:
Check our Provider Finder and see if your dentist is in one of our Dental Blue networks.
- If you dentist is in the Dental Blue 100 network, the best plan for you is either Dental Blue 100 Basic or Dental Blue 100 Plus.
- If your dentist is in the Dental Blue 200 or Dental Blue 300 network, the best plan for you is either Dental Blue 200 Plus or Dental Blue 200 Essential.
- If you dentist is not in any of the Dental Blue networks review the out-of-network coverages and determine which paln is best for you.
The Benefits of Dental Blue
- 18,000 plus dental professionals to choose from.
- No deductibles for cleanings, exams and X-rays.
- No claim forms or paperwork to deal with.
- Discounts on popular services like whitening, implants and braces.
- Dental Specialists within both networks.
- Continued Savings even after you reach your annual maximum. You keep saving because you pay our negotiated (and less expensive) fee, not full price, for dental services.
Dental Blue Plans
You have choices. Dental Blue 100 Basic provides 100% in-network coverage for cleanings and X-rays-and with no waiting periods. Certain Dental Blue Basic Services are covered at 80%. While this is the lowest priced plan, there’s no coverage for Major Services.
Dental Blue 200 Essential also provides 100% in-network coverage for cleanings and X-rays. With this plan, all Dental Blue Basic and Major Services are included, although waiting periods apply. Also, coverage for Basic and Major Services is based on a fee schedule, so your out-of-pocket costs may be higher than with a co-insurance plan.
Increase your Dental benefits.
The Dental Blue 100 Plus and Dental Blue 200 Plus plans both offer 100% in-network coverage for cleanings and X-rays. For both plans, Basic Services are coverad at 80% in-network. Dental Blue 200 Plus has longer waiting periods, but the Dental Blue 200 provider network is larger.
Choose a Dentist
The majority of California dentists participate in one of our three networks: Dental Blue 100, Dental Blue 200 or Dental Blue 300. You can visit any of these dentists for preventive services like cleanings to more involved services like extractions or crowns. Of course, you can also choose to visit a non-Dental Blue dentist, but your costs will probably be higher.
Dental specialists like oral surgeons and endodontists participate in all the Dental Blue networks.
Choose Savings
Dental Blue dentists decide which of our networks to join. What you pay for dental services will vary depending on which network the dentist you visit is in.
When you are ready to use your dental coverage, simply decide which dentist and benefit level of coverage is right for you, based upon your needs, and make your appointment. It’s that easy!
Keep on Saving
With Dental Blue, you can keep saving even if you exceed the annual maximum your plan allows. That’s because you’ll pay our negotiated fees, which are less than what dentists typically charge. You also get discounts on popular services that may not be covered by your dental plan, such as teeth whitening, implants and braces.
Enjoy the following with Dental Blue:
- Coverage for a wide range of dental services, with an emphasis on previntive care.
- Access to about 20,000 dentists in California.
- Access to a national network of dentists.
- Lower dental expenses when you use Dental Blue dentists.
- Continued savings after you reach your plan’s annual maximum.
- Freedom to use dentists outside our networks.
- Freedom to switch dentists at anytime, or have each family member use a different dentist.
The Quality of our Dentists
We know quality dental care is important to you. All network dentists are approved for participation in our networks based on accepted industry standards – we verify key credentials such as state dental licensure, academic credentials and malpractice insurance.
Through practice profiling and professional review, we make sure that the care our dentists provide is professionally appropriate and consistent with the practice patterns of their peers. This ensures that all dentists in our networks meet our high standards – and yours.
We’re at Your Service, so please call anytime: 800-700-1246
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91301 91376 Agoura Hills 91801 91803 91804 Alhambra 92653 92656 Aliso Viejo 92801 92802 92804 Anaheim 92805 92806 92807 Anaheim 92808 92809 92899 Anaheim 95521 Arcata 95912 Arbuckle 93562 Argus 95003 Aptos 93422 Atascadero 94027 Atherton health insurance 92220 Banning 92223 Beaumont 93301 93304 93305 Bakersfield 93306 93307 93308 Bakersfield 93309 93310 - 93314 Bakersfield 91310 91311 Barstow 94002 Belmont tonik rates 94702 94703 94704 Berkeley 94705 94706 94707 Berkeley 90210 90211 Beverly Hills 90212 Beverly Hills dental blue 92316 Bloomington 92003 Bonsall San Diego 91902 Bonita 92004 Borrego Springs tonik 92227 Brawley 90620 90621 90623 Buena Park 91501 91502 Burbank 91504 91505 Burbank dental blue 91506 Burbank 94040 BURLINGAME Blue Cross 92230 92282 Cabazon 91302 91399 Calabasas PPO 40 92231 92232 92231 Calexico Dental 93518 Caliente 93010 93012 Camarillo Dental ppo 95008 Campbell 91303 91304 Canoga Park 91306 91307 Canoga Park 92007 Cardiff San Diego Dental Insurance 92010 Carlsbad Tonik 92008 Carlsbad dental blue 92009 Carlsbad Blue Cross 92011 Carlsbad LTC 93923 Carmel 93924 Carmel Valley 93924 Carmel Valley Village 91384 Castaic 91311 Chatsworth health insurance 95926 Chico 95928 95973 Chico tonik 91708 91710 Chino 91910 91911 91913 91914 Chula Vista dental 91909 91915 Chula Vista tonik insurance 91711 Claremont 93611 93612 93619 Clovis 92236 Coachella 92324 Colton 94518 94519 94520 Concord 94521 94523 Concord 92879 92880 Corona 92881 92882 Corona 92883 Corona 92118 Coronado dental blue 92626 92627 Costa Mesa 95531 Crescent City 95014 Cupertino Blue Cross 90630 Cypress 94014 94015 Daly City 92624 92629 Dana Point 94506 94526 Danville 95616 95618 Davis 92014 Del Mar blue cross 90240 90241 90242 Downey 94568 Dublin 92019 El Cajon Blue Cross Insurance 92020 El Cajon dental blue 92021 El Cajon dental blue 92022 El Cajon health PPO 92243 94530 El Centro 91731 91732 91733 El Monte 92610 92630 El Toro 95624 95757 95758 Elk Grove Tonik 94608 Emeryville 92024 Encinitas dental blue 91316 91436Encino 92025 92026 Escondido tonik 92027 92029 Escondido LTC 95501 95503 Eureka 94533 94534 94535 Fairfield 92028 Fallbrook ltc insurance 92335 92336 92337 Fontana 94404 Foster City Tonik 92708 Fountain Valley 94536 94538 Fremont Blue Cross 94539 94555 Fremont Life ins. 93650 93701 93702 Fresno 93703 93704 93705 Fresno 93706 93710 93711 Fresno 93720 93721 93722 Fresno dental 93723 93725 93726 Fresno 92831 92832 92835 Fullerton dental 92833 Fullerton LTC insurance 95632 Galt 95542 GARBERVILLE 92840 92841 92843 Garden Grove 92844 92845 Garden Grove 90247 90248 Gardena 90249 Gardena 95020 Gilroy 91201 91202 Glendale dental 91203 91204 Glendale tonik 91206 91207 91208 91205 Glendale 93110 Goleta blue cross insurance 93111 93117 Goleta 95948 GRIDLEY blue cross 94019 Half Moon Bay 90250 Hawthorne 93230 Hanford 94541 94542 94544 Hayward 94545 94546 94552 Hayward 92543 92544 92545 Hemet 92346 Highland 95023 Hollister 90027 90028 90038 90068 Hollywood 96044 Hornbrook 92646 92647 Huntington Beach 92648 92649 Huntington Beach 92201 92203 Indio 90301 90302 90303 Inglewood 90304 90305 90311 Inglewood 92251 Imperial 91932 Imperial Beach 92602 92603 92604 92606 Irvine 92612 92614 92617 92618 Irvine 92620 Irvine 91935 Jamul 92252 Joshua Tree 92036 Julian blue cross rates 92037 92092 92093 La Jolla 92037 La Jolla blue cross 92037 La Jolla tonik rates 91941 91942 La Mesa 92253 La Quinta 92651 92653 Laguna Beach 92656 92657 Laguna Beach 92637 Laguna Woods 92637 92653 92656 Laguna Hills 92677 Laguna Niguel 92530 92532 Lake Elsinore 92630 Lake Forest 93534 93535 93536 Lancaster 92040 Lakeside 91945 Lemon Grove tonik rates 94550 94551 Livermore 92354 Loma Linda 93436 93437 Lompoc 90745 90746 90755 Long Beach 90802 90803 90804 Long Beach 90805 90806 90807 Long Beach 90808 90810 90813 Long Beach 90814 90831 - 90835 Long Beach 94024 Los Altos Blue Cross 92022 Los Altos LTC insurance 94022 Los Altos Hills LTC Insurance 90066 Los Angeles |
90263 90265 Malibu 90266 Manhattan Beach 95336 95337 Manteca 95350 95351 95354 Modesto 95345 95346 95357 Modesto 95358 Modesto Blue Cross dental 93933 Marina 90292 Marina del Rey VENICE 95519 95521 McKinleyville 94025 94027 94028 Menlo Park 95035 Milpitas blue cross dental 95035 Milpitas health insurance 92108 Mission Valley 92675 92691 92692 92694 Mission Viejo 95350 95351 95354 Modesto 95355 95356 95357 Modesto 95350 95351 95358 Modesto insurance 95354 95355 95356 95357 Modesto 93940 Monterey 93943 Monterey dental blue 91754 Monterey Park 91755 Monterey Park 93021 Moorpark 92551 92553 Moreno Valley 92555 92557 Moreno Valley 94040 Mountain View dental blue 94041 Mountain View tonik rates 94043 Mountain View 92563 Murrieta CA tonik insurance 92562 Murrieta CA 94558 94559 Napa 91950 91951 National City 91320 Newburry Park 91321 91381 Newhall 91324 91325 Northridge 91326 91343 Northridge 90650 Norwalk 91307 91377 Oak Park 94601 94602 Oakland 94603 94605 Oakland 94606 94607 94608 Oakland 94609 94610 94611 Oakland 92049 92051 Oceanside 92052 92054 Oceanside blue cross 92055 92056 Oceanside tonik rates 92057 92049 Oceanside 92051 92052 Oceanside dental blue 92054 92055 Oceanside 92056 92057 Oceanside LTC 92058 92054 Oceanside 91710 Ontario blue cross insurance 91758 91761 Ontario 91762 91764 Ontario tonik 92861 92861 Orange blue cross 92865 92866 92869 Orange dental 92867 92868 Orange County 93030 93033 Oxnard 93035 93036 Oxnard 94044 Pacifica 93550 93551 Palmdale 93552 93591 Palmdale 92210 92211 Palm Desert 92260 Palm Desert Tonik 92262 92264 Palm Springs 94303 Palo Alto tonik rates 94304 Palo Alto dental blue 94305 94301 Palo Alto 94306 Palo Alto dental ppo 92060 Palomar Mountain 91101 91103 91104 Pasadena 91105 91106 91107 Pasadena 91108 Pasadena 93446 Paso Robles 93953 Pebble Beach 92570 92571 Perris 95558 Petrolia 93449 Pismo Beach 94566 94568 94588 Pleasanton 92107 Point Loma tonik rates 91765 91766 Pomona 91767 91768 Pomona 92064 Poway dental blue 92065 Ramona 92066 Ranchita 92128 Rancho Bernardo 91701 91730 Rancho Cucamonga 91737 91739 Rancho Cucamonga 92129 Rancho Penasquitos 92091 Rancho Santa Fe 92688 Rancho Santa Margarita 92373 REDLANDS 94061 Redwood City 94062 Redwood City blue cross rates 94063 Redwood City 94065 Redwood City dental blue 91335 Reseda 92376 92377 Rialto 93355 Ridgecrest 93656 Riverdale 92501 92503 92504 Riverside 92505 92506 Riverside 92508 92507 Riverside 92509 92518 Riverside Blue Cross 95661 95678 95746 Roseville 95747 Roseville 95814 95815 95816 Sacramento dental blue 95817 95818 95819 Sacramento 95820 95821 95864 Sacramento tonik rates 93901 SALINAS 93905 93906 Salinas 93907 93908 Salinas 92401 92403 92404 San Bernardino 92405 92407 92408 San Bernardino 92410 92411 San Bernardino 92672 92673 San Clemente 92582 92583 San Jacinto 95101 95110 95111 San Jose tonik 95112 95113 95116 San Jose 95117 95118 95119 San Jose dental blue 95120 95121 95122 San Jose 95123 - 95130 San Jose 92068 San Luis Rey 92069 92078 San Marcos 94401 94402 San Mateo 94403 94402 San Mateo 92701 92703 92704 Santa Ana 92705 92706 92707 Santa Ana 92708 92799 Santa Ana 93101 93103 93105 Santa Barbara 93108 93109 93110 Santa Barbara 93111 93117 Santa Barbara 95050 95051 95054 Santa Clara 91321 91350 91351 Santa Clarita 91354 91355 91381 Santa Clarita 91382 91383 91390 Santa Clarita 95060 95062 95064 Santa Cruz 95065 95066 Santa Cruz 93454 93455 93458 Santa Maria 95401 95403 95404 Santa Rosa 95405 95407 95409 Santa Rosa 92070 92173 Santa Ysabel 95070 Saratoga 94965 Sausalito 90740 Seal Beach 92273 Seeley blue cross 92676 Silverado 93063 93065 Simi Valley 95567 Smith River 95073 Soquel 92075 Solana Beach 91977 91978 Spring Valley 95202 95203 95204 Stockton 95205 95206 95207 Stockton 95209 95210 95212 Stockton dental 95215 95219 Stockton 92584 92585 92586 Sun City 92587 Sun City 94085 94086Sunnyvale dental blue 94087 Sunnyvale tonik rates 94089 Sunnyvale 92590 92591 92592 Temecula 91320 91360 91361 Thousand Oaks 91362 Thousand Oaks 90501 90502 90503 Torrance 90504 90505 90506 Torrance 95304 95376 95377 Tracy 95385 95391 Tracy 96161 Truckee tonik rates 92780 92782 Tustin 92277 Twentynine Palms 91784 91786 Upland 95687 Vacaville 95688 VACAVILLE 91354 91355 Valencia 94590 94591 VALLEJO 91316 91401 91402 Van Nuys 91403 91405 91406 Van Nuys 91411 91423 91436 Van Nuys 93001 93003 93004 Ventura 93277 93291 93292 Visalia 92081 Vista blue cross Insurance 92083 Vista tonik rates 92084 Vista dental blue 91790 91791 91792 West Covina 91361 91362 Westlake Village 95589 Whitethorn 94062 Woodside 92886 92887 Yorba Linda |
