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Benefit Outlines
Blue Shield of California Dental Benefits 2021 Blue Shield of California Vision Benefits 2021
Dental PPO Ultimate Vision 15/25/120
Specialty Duo Ultimate Vision 15/25/150
Enhanced 25/500 PPO Specialty Duo
Enhanced 50/1250 PPO
Enhanced 50/2000 PPO
Enhanced 50/2000
1500 Lifetime Ortho
Dental HMO *
*not available in all areas
Blue Shield of California Medical Benefits 2021
Direct Enrollment Plans
Minimum Coverage PPO
Bronze 60 HDHP PPO
Bronze 60 PPO
Silver 2600 HDHP PPO
Silver 1950 PPO
Silver 70 Off Exchange PPO
Gold 80 PPO
Platinum 90 PPO
Covered California Specialty Plans
Silver 70 PPO
Silver 73 PPO
Silver 87 PPO
Silver 94 PPO
Alaska Native and American Indian PPO Plans
Platinum 90 PPO AI-AN
Gold PPO AI-AN
Silver 70 PPO AI-AN
Bronze 60 PPO AI-AN
Bronze 60 HDHP PPO AI-AN
$0 Cost Share PPO AI-AN