Dental Insurance

Dental Insurance

Dental Insurance: Blue Cross Blue Shield (BCBS) - Dental Blue Program 2 (with Orthodontics)

The CES plan covers many dental needs ranging from preventative services and basic care to major restorative procedures and orthodontia for children under the age of 19.

How to Enroll

To enroll, complete the form below and submit the form to Human Resources.

BCBS Dental Enrollment Form

If you are enrolled in the BCBS Dental Insurance and you or a member of your plan have been diagnosed with any of the following conditions: diabetes, oral cancer, coronary artery disease and/or are pregnant, you can complete the form below and submit it to HR.

Enhanced Dental Benefit Enrollment Form

Learn More about the Dental Plan

Good News! If your dentist does not participate in the Dental Blue Plan, you do not necessarily have to switch dentists. Non-participating dentist’s services may be covered at 80% of the reasonable and customary costs. For more information, read the details in the plan’s Summary of Benefits.

Summary of Benefits

More good news! Haven’t reached the $1000 maximum this year? A certain portion of any unspent annual benefit dollars can be used in a future year benefit through the plan’s Maximum Rollover Benefit which applies to subscribers automatically when they:

  • receive at least one service during the plan year;
  • remain a member of the plan for the entire plan year; and
  • do not exceed the claim payment threshold in the plan year.

Maximum Rollover Benefit Details

 

Dental Plan Cost Information

Rate Chart 

 

Questions?

Contact BCBS at 1-800-422-3545.

The CES BCBS Plan is #2329848.

For more information, contact: 
Phone: 
413.586.4900 x5923 or x5925
Email: 
hr@collaborative.org