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 dentist

 

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

Looking for a dental plan?

 

Find a dental plan

 

Scroll toward the bottom of the page to learn what type of oral health coverage is included, find out how to purchase, or click below to view our plans.


 

View pediatric & adult plans

Find Dental Care and Estimate Your Cost in 3 Easy Steps

Step 1

Log in to your online account. By logging in, search results will automatically be personalized to your plan and network. If you don't have an account, set one up here.

Step 1

Select "Dental Providers" under "My Health Plan" in the navigation. In the search field at the top, you can enter a specialty, name of a dentist, facility or procedure. You can also refine your search by location, specialty, distance, gender, and more.

Step 1

Click search. Your results will be displayed by distance, starting with the providers closest to you.*

How to use Find a Doctor

*The Find a Doctor tool will typically search based on your current location. If you wish to search in another area, click on My Location and type in the city or zip code.

2018 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 BlueShield 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.
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

$24.55 (per child)

$24.62 (individual)
$49.24 (individual & spouse/dometic partner)
$63.47 (individual & child(ren))
$99.23 (family)

$33.17 (individual)
$66.34 (individual & spouse/domestic partner)
$75.93 (individual & child(ren))
$122.34 (family)

$37.95 (individual)
$75.90 (individual & spouse/domestic partner)
$85.70 (individual & child(ren))
$138.60 (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, $700 - 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 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. 

 

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 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

$22.60 (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.


Need help figuring out your treatment costs?

Visit Fair Health®, a free website that can help you estimate the cost of dental procedures and quote coverage in your area.

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 2017 Medicare Provider and Pharmacy Directory*

>View the 2018 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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