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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?

dentists examines teeth of BCBSWNY member

Use the Find a Provider tool for our pediatric and adult dental plans. You can search by specialty, ZIP code, city, county, or state. Just select ‘Dental Providers’ from the drop-down menu.

Find a Dentist

Looking for a dental plan?

patient shows off pearly white teeth after orthodontic treatment

We offer several different dental plan options. Learn what type of oral health coverage is included, find out how to purchase, and more.
 

View Pediatric and Adult Plans

Find dental care and estimate your cost in three easy steps
 

  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.

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

  3. Click Search. Your results will be displayed by distance, starting with the providers closest to you.*
Screenshot of how to find a doctor tool
*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.

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.

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 BlueCross 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

$22.84 (per child)

$22.57 (individual)
$45.14 (individual & spouse/domestic partner)
$58.56 (individual & child(ren))
$91.41 (family)

$30.36 (individual)
$60.72 (individual & spouse/domestic partner)
$69.91 (individual & child(ren))
$112.47 (family)

$34.79 (individual)
$69.58 (individual & spouse/domestic partner)
$78.66 (individual & child(ren))
$127.16 (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 up 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

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 BlueCross 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

$21.07 (per child)

$20.55 (one adult)
$41.10 (two adults)
$52.82 (subscriber and child(ren))
$84.57 (family)

$27.70 (one adult)
$55.40 (two adults)
$63.93 (subscriber and child(ren))
$104.00 (family)

$31.70 (one adult)
$63.40 (two adults)
$71.80 (subscriber and child(ren))
$117.15 (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. 

*If you would like a copy of the Medicare Advantage provider and pharmacy directory mailed to you, please call customer service at 1-800-329-2792, TTY 711. We are available Oct. 1 — Mar. 31, 8 a.m. to 8 p.m., 7 days a week; Apr. 1 — Sept. 30, 8 a.m. to 8 p.m., Mon. — Fri.

Interested to know how much a procedure may cost?

Family consults with doctor about child

Choosing a specific provider or facility matters.
Plan ahead with Health Care Cost Estimator

A division of HealthNow New York Inc., an independent licensee of the BlueCross BlueShield Association. BlueCross BlueShield of Western New York is a Medicare Advantage plan with a Medicare contract and enrollment depends on contract renewal. This information is not a complete description of benefits. Call 1-800-329-2792 (TTY 711) for more information. BlueCross BlueShield of Western New York complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-833-735-4515 (TTY: 711).注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-833-735-4515 (TTY: 711).

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Content Last Updated November 2, 2018.