Authorized Agent
 blue cross logo
Blue Cross of California*
* is an Independent Licensee of the Blue Cross Association
GERRY CACCAMO
A-ADVANTAGE INSURANCE SERVICES
Calif. Lic #OB22296

1200 E. ROUTE 66 #108 GLENDORA, CALIFORNIA 91740
800-246-3330 or 626-857-9230
INSTANT HEALTH QUOTE APPLICATION FORMS DOWNLOAD FREE QUOTE MEDICAL RATES HMO PLANS PPO PLANS DENTAL INSURANCE RATES DENTAL PLANS LIFE INSURANCE CONTACT HOME


WHO IS ELIGIBLE FOR BLUE CROSS DENTAL PLANS

You and your dependent must be California resident. If you enroll in one of the Blue Cross Dental SelectHMO plans, you and your dependents must select the same particiapating dental office. Dental providers and locations are different for the Dental PPO and Dental SelectHMO. Eligible dependents include:

  • Your lawful spouse

  • Any unmarried child under age 19 of you or your enrolled spouse

  • Any unmarried child, age 19 to 23, of you or your enrolled spouse, who qualifies asa 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

Dental PPO Plan (7874) from BC life & Health Insurance Company

 
Area 1
Area 2
Area 3
Area 4
Area 5
Area 6
Area 7
Area 8
Area 9
Subscriber $ 39.00 $ 36.00 $ 337.00 $ 41.00 $ 43.00 $ 41.00 $ 37.00 $ 40.00 $ 43.00
Subscriber & Spouse $ 77.00 $ 69.00 $ 70.00 $ 80.00 $ 83.00 $ 80.00 $ 71.00 $ 78.00 $ 84.00
Subscriber & Child $ 61.00 $ 56.00 $ 57.00 $ 64.00 $ 67.00 $ 64.00 $ 57.00 $ 62.00 $ 67.00
Subscriber & Children $ 93.00 $ 86.00 $ 87.00 $ 99.00 $ 104.00 $ 99.00 $ 88.00 $ 96.00 $ 104.00
Family $118.00 $108.00 $111.00 $127.00 $132.00 $127.00 $112.00 $122.00 $132.00
1 Child $ 32.00 $ 29.00 $ 29.00 $ 34.00 $ 35.00 $ 34.00 $ 29.00 $ 33.00 $ 35.00
2 Children $ 61.00 $ 56.00 $ 56.00 $ 64.00 $ 66.00 $ 64.00 $ 57.00 $ 62.00 $ 66.00
3+ Child $ 87.00 $ 79.00 $ 80.00 $ 90.00 $ 95.00 $ 90.00 $ 81.00 $ 88.00 $ 95.00

Area 1
Counties
Area 2
Counties
Area 3
Counties
Area 4
Counties
Area 5
Counties
Area 6
Counties
Area 7
Counties
Area 8
Counties
Area 9
Counties
Del Norte
Lassen
Modoc
San Benito (ZIP code 95004 only)
Monterey
Plumas*
San Luis Obispo
(93246 only)
Shasta
Sierra*
Siskiyou
Tehama
Trinity*
Alpine*
Amador
Calaveras*
El Dorado
Fresno
Inyo*
Kings (ZIP code 93631 only)
Madera
Marin
Mariposa*
Merced
Mono*
Nevada
Placer
Sacramento
San Benito (except ZIP code 95004)
San Joaquin
San Mateo
Santa Clara(Zip code 94303 only)
Stanislaus
Tuolumne*
Alameda
Butte
Colusa*
Contra Costa
Glenn*
Humbolt
Lake*
Mendocino
Napa
San Francisco
Santa Clara (except ZIP code 94303)
Santa Cruz
Solano
Sonoma
Sutter
Yolo*
Yuba
Orange,
Riverside(ZIP code 92883 only)
Los Angeles (except ZIP codes beginning with 906-912, 915, 917, 918 & 935)
Ventura (ZIP codes beginning with 913 only)
Imperial Riverside (except ZIP code 92883)
San Bernardino
San Diego
Kern
Kings (except ZIP 93631)
Tulare
San Luis Obispo (except ZIP code 93426)
Santa Barbara
Venture(except ZIP codes beginning with 913)
Los Angeles (ZIP codes beginning with 906-12, 915, 917, 918 & 935)
*If you live in a county with an asterisk(*), please contact your Blue Cross respresentative, agent or broker

Dental SelectHMO Plans from Blue Cross of California

 
Blue Cross Dental
Saver SelectHMO
Blue Cross Dental
SelectHMO
Blue Cross Dental
Premier SelectHMO
Note: Blue Cross Dental SelectHMO is available in these counties: Alameda, Contra Costa, Los Angeles, Marin, Orange, Sacramento, San Diego, San Francisco, San Joaquin, San Luis Obispo, Santa Barbara, Santa Clara, Solano, and Sonoma.
Blue Cross Dental SelectHMO has limited availability in these counties: El Dorado, Fresno, Kern, Kings, Monterey, Placer, Riverside, San Bernardino, Santa Cruz, San Mateo, Tulare and Ventura.

Premiums for the Dental PPO or Dental SelectHMO plans can be billed on a monthly basis only if the applicant selects the Monthly Checking Account Premium Payment or Credit Card payment method.
Single
$ 10.00 $ 14.50 $ 18.00
Two-Party
(subscriber & spouse or
subsriber & child)
$ 20.00 $ 29.00 $ 35.50
Family
(Family or subscriber
& children)
$ 30.00 $ 43.50 $ 53.50