Dental Plans - aetna anthem blue cross blue shield first dental health pacificare uhc

This page below gives you immediate access to the California group health insurance plan descriptions and
forms you will need to help employers and their staff get the information that is easy to understand and use.

DENTAL PLANS

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Group Medical Carriers (CA):	Aetna \| Anthem Blue Cross \| Blue Shield \| California Choice \| Health Net \| HSA California \| Kaiser \| Kaiser Choice Solution \| PacifiCare \| Sharp \| UHC \| Western Health Advantage
Dental Carriers (CA):	Aetna \| Blue Cross \| Blue Shield \| New Dental Choice \| PacifiCare \| UHC
Disability Carriers (CA):	American Fidelity \| The Hartford \| The Standard \| Unum
HSA Administration (CA):	First Horizon \| Health Equity \| HSA Bank \| Sterling HSA
Life Carriers (CA):	Aetna \| American Fidelity \| Anthem Blue Cross \| Blue Shield \| The Hartford \| The Standard \| UHC \| Unum
Specialty Products (CA):	Ceridian \| coPower \| Satori
Supplemental & Voluntary (CA):	Aflac \| American Fidelity \| Colonial
Vision Carriers (CA):	Aetna \| Anthem Blue Cross \| Blue Shield \| UHC \| VSP
Wellness At Work (CA):	My Wellchoice+

	Applications & Forms	Rate Guide	Provider Networks
Company	Name of Plan	Deductible	Annual Max Benefits
Aetna	Standard DMO Access 2-9 eligible employees \| 10-50 eligible employees	None	N/A
Aetna	Standard DMO Plus 2-9 eligible employees \| 10-50 eligible employees	None	N/A
Aetna	Standard FOC DMO Basic 2-9 eligible employees \| 10-50 eligible employees	None	N/A
Aetna	Standard FOC PPO Basic 2-9 eligible employees \| 10-50 eligible employees	$50 member / $150 Family	$1,000
Aetna	Standard FOC DMO Plus 2-9 eligible employees \| 10-50 eligible employees	None	N/A
Aetna	Standard FOC PPO Plus 2-9 eligible employees \| 10-50 eligible employees	$50 member / $150 Family	$1,000
Aetna	Standard PPO 1000 Active 2-9 eligible employees \| 10-50 eligible employees	$50 member / $150 Family	$1,000 per member in/out network combined
Aetna	Standard PPO 1500 2-9 eligible employees \| 10-50 eligible employees	$50 member / $150 Family	$1,500
Aetna	Standard PPO 1500 Active 2-9 eligible employees \| 10-50 eligible employees	$50 member / $150 Family	$1,500 per member in/out network combined
Aetna	Standard PPO 2000 2-9 eligible employees \| 10-50 eligible employees	$50 member / $150 Family	$2,000
Aetna	Voluntary DMO Access 2-9 eligible employees \| 10-50 eligible employees	None	N/A
Aetna	Voluntary DMO Plus 2-9 eligible employees \| 10-50 eligible employees	None	N/A
Aetna	Voluntary PPO 1000 Active 2-9 eligible employees \| 10-50 eligible employees	$75 member / $225 Family	$1,000 per member in/out network combined
Aetna	Voluntary PPO 1500 2-9 eligible employees \| 10-50 eligible employees	$75 member / $225 Family	$1,500
Aetna	Voluntary 1500 Active 2-9 eligible employees \| 10-50 eligible employees	$75 member / $225 Family	$1,000 per member in/out network combined

	Applications & Forms	Rate Guide	Provider Networks
Company	Name of Plan	Deductible	Annual Max Benefits
Anthem Blue Cross	Voluntary Dental Plans	$50 per member / 3 member max	$1,000 per member in/out network combined
Anthem Blue Cross	Dental Blue Silver PPO and Dental Blue Silver 100-80 PPO	$50 per member / 3 member max	$1,000 per member in/out network combined
Anthem Blue Cross	Dental Blue Silver 200 PPO	$50 per member / 3 member max	$1,000 per member in/out network combined
Anthem Blue Cross	Dental Blue Silver 300 PPO	$50 per member / 3 member max	$1,000 per member in/out network combined
Anthem Blue Cross	Dental Blue Silver Plus PPO and Dental Blue Silver Plus 100-80 PPO	$50 per member / 3 member max	$1,500 per member in/out network combined
Anthem Blue Cross	Dental Blue Silver Plus 200 PPO	$50 per member / 3 member max	$1,500 per member in/out network combined
Anthem Blue Cross	Dental Blue Silver Plus 300 PPO	$50 per member / 3 member max	$1,500 per member in/out network combined
Anthem Blue Cross	Dental Blue Gold PPO and Dental Blue Gold 100-80 PPO	$50 per member / 3 member max	$1,500 per member in/out network combined
Anthem Blue Cross	Dental Blue Gold 200 PPO	$50 per member / 3 member max	$1,500 per member in/out network combined
Anthem Blue Cross	Dental Blue Gold 300 PPO	$50 per member / 3 member max	$1,500 per member in/out network combined
Anthem Blue Cross	Dental Blue Gold Plus PPO and Dental Blue Gold Plus 100-80 PPO	$50 per member / 3 member max	$1,500 per member in/out network combined
Anthem Blue Cross	Dental Blue Gold Plus 200 PPO	$50 per member / 3 member max	$1,500 per member in/out network combined
Anthem Blue Cross	Dental Blue Gold Plus 300 PPO	$50 per member / 3 member max	$1,500 per member in/out network combined
Anthem Blue Cross	Dental Blue Platinum PPO and Dental Blue Platinum 100-80 PPO	$50 per member / 3 member max	$2,000 per member in/out network combined
Anthem Blue Cross	Dental Blue Platinum 200 PPO	$50 per member / 3 member max	$2,000 per member in/out network combined
Anthem Blue Cross	Dental Blue Platinum 300 PPO	$50 per member / 3 member max	$2,000 per member in/out network combined
Anthem Blue Cross	Dental Blue Platinum Plus PPO and Dental Blue Platinum Plus 100-80 PPO	$50 per member / 3 member max	$2,000 per member in/out network combined
Anthem Blue Cross	Dental Blue Platinum Plus 200 PPO	$50 per member / 3 member max	$2,000 per member in/out network combined
Anthem Blue Cross	Dental Blue Platinum Plus 300 PPO	$50 per member / 3 member max	$2,000 per member in/out network combined
Anthem Blue Cross	SG Basic Option PPO	$75 per member / 3 member max	$1,000 per member in/out network combined
Anthem Blue Cross	SG Standard Option PPO	$50 per member / 3 member max	$1,000 per member in/out network combined
Anthem Blue Cross	SG Standard Fee For Service FFS	$50 per member / 3 member max	$1,000 per member in/out network combined
Anthem Blue Cross	SG High Option PPO	$50 per member / 3 member max	$2,000 per member in/out network combined
Anthem Blue Cross	SG Silver 1000 PPO	$50 per member / 3 member max	$1,000 per member in/out network combined
Anthem Blue Cross	SG Gold 1500 PPO	$50 per member / 3 member max	$1,500 per member in/out network combined
Anthem Blue Cross	SG Gold Preferred 1500 PPO	$50 per member / 3 member max	$1,500 per member in/out network combined
Anthem Blue Cross	SG Platinum 2000 PPO	$50 per member / 3 member max	$2,000 per member in/out network combined
Anthem Blue Cross	SG Platinum Preferred 2000 PPO	$50 per member / 3 member max	$2,000 per member in/out network combined
Anthem Blue Cross	SG DentalNet	n/a	n/a
Anthem Blue Cross	SG SelectHMO	n/a	n/a
Company	Name of Plan	Deductible	Annual Max Benefits
Anthem Blue Cross	Metallic Plans Comparison Grid
Company	Name of Plan	Deductible	Annual Max Benefits
Anthem Blue Cross	Dental Plan Rates Comparison

	Applications & Forms	Rate Guide	Provider Networks
Company	Name of Plan	Deductible	Annual Max Benefits
Blue Shield	Smile Basic PPO	$75 member / $225 Family	$1,000 in-network / $750 out-of-network
Blue Shield	Smile Value PPO	$50 member / $150 Family	$1,500 in-network / $750 out-of-network
Blue Shield	Smile Delux PPO	$50 member / $150 Family	$2,000 in/out network combined
Blue Shield	Dental HMO Basic	N/A	N/A
Blue Shield	Dental HMO Plus	N/A	N/A

	Applications & Forms	* Rate Guide by Zip * View PDF version	Provider Networks
Company	Name of Plan
New Dental Choice	Group Brochure
New Dental Choice	Group Plan Summary Flyer
New Dental Choice	Group Testimonials
New Dental Choice	Do The Math
New Dental Choice	Member Quick Reference Guide
New Dental Choice	Proposal Introduction
New Dental Choice	San Diego Chart

	Applications & Forms	Rate Guide N/A	Provider Networks
Company	Name of Plan	Deductible	Annual Max Benefits
PacifiCare

	Applications & Forms	Rate Guide N/A	Provider Networks
Company	Name of Plan	Deductible	Annual Max Benefits
Premier Access

	Applications & Forms	Rate Guide N/A	Provider Networks
Company	Name of Plan	Deductible	Annual Max Benefits
UHC

Group Medical Carriers (CA):	Aetna \| Anthem Blue Cross \| Blue Shield \| California Choice \| Health Net \| HSA California \| Kaiser \| Kaiser Choice Solution \| PacifiCare \| Sharp \| UHC \| Western Health Advantage
Dental Carriers (CA):	Aetna \| Blue Cross \| Blue Shield \| New Dental Choice \| PacifiCare \| UHC
Disability Carriers (CA):	American Fidelity \| The Hartford \| The Standard \| Unum
HSA Administration (CA):	First Horizon \| Health Equity \| HSA Bank \| Sterling HSA
Life Carriers (CA):	Aetna \| American Fidelity \| Anthem Blue Cross \| Blue Shield \| The Hartford \| The Standard \| UHC \| Unum
Specialty Products (CA):	Ceridian \| coPower \| Satori
Supplemental & Voluntary (CA):	Aflac \| American Fidelity \| Colonial
Vision Carriers (CA):	Aetna \| Anthem Blue Cross \| Blue Shield \| UHC \| VSP
Wellness At Work (CA):	My Wellchoice+

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