It's All About Simplicity
 Now you have more choices for your Dental coverage. Anthem Blue Cross and Anthem BC Life & Health now offers two plan designs and 7 plan choices. Three of the four choices are Anthem Blue Cross Dental SelectHMOSM plans. These plans require you to use participating dentists and vary primarily in the amount they pay for restorative services. In all three plans, you pay only $5 per office visit for exams, cleanings and x-rays. There are no annual deductibles, no annual maximums and no waiting periods for most services.
The Dental Blue Plans from BC LIfe & Health offer you an affordable PPO solution to meet your dental needs - all designed to give you the power to choose. Dental Blue give you two networks - Dental Blue 100 and 200, four plans at 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 networks.
Who’s Eligible for Blue Cross Dental Plans
You and your dependents must be California residents. If you enroll in one of the Anthem Blue Cross Dental SelectHMO plans, you and your dependents must select the same participating dental office. Dental providers and locations are different for the Dental Blue plan. Eligible dependents include:
- Your lawful spouse
- Any unmarried child under age 19 of you or your enrolled spouse
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Any unmarried child, age 19 to 23, of you or your enrolled spouse, who qualifies as a dependent for federal income tax purposes
- A child of you or your enrolled spouse, who continues to be both incapable of self- support, due to continuing mental retardation or physical handicap, and who is at least one-half dependent on you or your spouse for support.
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Anthem Blue Cross - California Dental Brochure and Application
Below are the three color brochures and links to the applications for the Individual Dental plans from Blue Cross of California. To apply for coverage simply download, print, complete and Mail the application with payment to the address below:
HOW TO APPLY:
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Select Dental Plan from the plans below
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Download & Print the correct application file
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Download Credit Card Authorization form to the right
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Complete the applications and FAX to (415) 651-8696
MAILING ADDRESS
Application Processing
P O Box 180761
Coronado, CA 92178
If you wish to expedite your application for coverage you need to download the Credit Card Authorization form by clicking on the image to the right. Then fax your completed dental application and authorization form to FAX# 415-651-8696. If you want a specific effective date please indicate this on your fax cover sheet or somewhere on the application. |
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DENTAL BLUE PPO for INDIVIDUALS & FAMILIES
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Top 6 Reasons to Choose Dental Blue
All Dental Blue Networks Offer:
- 18,000+ dental professionals to choose from - the largest PPO network in California
- No deductibles for cleanings, exams and X-rays
- No claim forms or paperwork to deal with
- Discounts on popular services like teeth whitening, implants and braces
- Access to Dental specialists without referrals
- Discounted fees even after members reach their annual maximum benefit
- Download BC Life & Health Dental Blue PPO Brochure Here
- Download BC Life & Health Dental Blue PPO Application Here
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DENTAL SELECTHMO PLAN |
Anthem Blue Cross HMO Dental Plans offer:
- More choices - three HMO plans and a large network of dentists to choose from
- Comprehensive benefits - a broad range of preventive, basic and major services
- Specialty services - orothodontic and cosmetic
- Affordable monthly rates p choice of payment options with low $5 office visit fees for exams, cleanings and X-rays
- Download Blue Cross of California Dental SelectHMO Brochure Here
- Download Blue Cross of Califrnia Dental SelectHMO Application Here
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