Pasadena Dentist That Takes Anthem Blue Cross PPO Plans

Which Anthem Blue Cross Dental Plans Our Pasadena Office Accepts

Our Pasadena office accepts Anthem Blue Cross dental plans that are PPO plans. A preferred provider organization (PPO) plan lets you see dentists on a preferred network at set benefit levels. Our records list Anthem Blue Cross PPO as accepted. The table shows where other common Blue plans stand with our office. Use it to decide whether to book online or call first.

Anthem Blue Cross, Blue Shield of California, and Other Blue Plans

Anthem Blue Cross and Blue Shield of California are separate carriers, and each runs its own dental plans. Anthem Blue Cross is an independent licensee of the Blue Cross Blue Shield Association. Its plans belong to Elevance Health. We accept PPO plans from both of them. Independence Blue Cross and Empire Blue Cross are Blue-branded plans from other regions. Check your card for the carrier name. Members of any other Blue plan can call (626) 219-7180, and our team will check that plan for you.

Essential Choice Plan Tiers and How Each One Splits Your Coverage

Essential Choice plan tiers split your coverage by type of care. Each tier pays a set percentage for preventive care, basic care, complex care, and sometimes orthodontic care. The amounts below are the tier details we publish. Your employer chooses the final plan terms, so confirm your exact amounts with Anthem before your visit.

Essential Choice Bronze

This tier lists two coverage levels.

• 100% coverage for preventive care services
• 50% coverage for basic services

Essential Choice Silver

This tier lists three coverage levels.

• 100% coverage for preventive care services
• 50% coverage for basic services
• 50% coverage for complex services

Essential Choice Gold

This tier raises the basic care level to 80%.

• 100% coverage for preventive care services
• 80% coverage for basic services
• 50% coverage for complex services

Essential Choice Platinum

This tier adds an orthodontic coverage level.

• 100% coverage for preventive care services
• 80% coverage for basic services
• 50% coverage for complex services
• 50% coverage for orthodontic services

Essential Choice Incentive

This tier pairs lower basic and complex levels with orthodontic coverage.

• 100% coverage for preventive care services
• 60% coverage for basic services
• 30% coverage for complex services
• 50% coverage for orthodontic services

Pasadena Dental Office and Orthodontics does not sell Anthem insurance; we accept Anthem plans for dental care. Our team explains how your plan applies and what you may owe for each visit.

Preventive, Basic, and Complex Care on an Anthem Dental Plan

Preventive, basic, and complex care are the three coverage types most Anthem dental plans use. Preventive care covers visits that keep teeth healthy, basic care covers common repairs, and complex care covers larger restorations. Your plan documents decide which procedure sits in which type. The table shows where services we provide usually fall. Preventive care protects your oral health and your smile.

Cosmetic dentistry such as teeth whitening and porcelain veneers often falls outside dental insurance altogether. Treatments like dental crowns, root canals, and wisdom teeth removal deserve a pre-treatment estimate first. Ask our team how your plan treats these dental services before you schedule them.

Network Status, Annual Maximums, and Waiting Periods: What to Look For on Your Anthem Card

Network status, annual maximums, and waiting periods are the terms to look for on your Anthem card. Network status tells you whether a dentist has a contract with your plan. The annual maximum caps what the plan pays in one year. A waiting period delays some benefits after you enroll. The table defines each term and shows where to find it.

As reported by the CMS Office of the Actuary, patients paid 38.3% of US dental spending out of pocket.^[1] Health care overall ran only 10.5% out of pocket. Checking these terms early helps you plan your out-of-pocket expenses before treatment. We cannot confirm in-network status for your plan from this page, so confirm network details with Anthem.

Orthodontic Coverage Under Anthem Blue Cross Plans

Orthodontic coverage under Anthem Blue Cross plans depends on your tier and your employer's plan. Among the tiers we publish, only Essential Choice Platinum and Essential Choice Incentive list 50% orthodontic coverage. We offer clear aligners at our office. Our team can check whether your plan applies its orthodontic benefit to aligner treatment.

Orthodontic questions our team can answer about your plan:

• Whether your plan includes an orthodontic benefit at all
• Whether an age limit applies to that benefit
• Whether a separate lifetime maximum applies
• Whether clear aligner treatment falls under the benefit

Before Your First Visit: How We Check Your Anthem Plan

Before your first visit, we check your Anthem plan in three steps. You share your plan details, our team verifies them with Anthem, and we explain the estimate before treatment begins. Our team also handles your claims after the visit. We review every estimate with you, and we make sure you understand it before treatment begins. The table shows who does what at each step.

Bring these items to your first appointment:

• Your Anthem member card
• A photo ID
• Any dental records or X-rays from your previous dentist

Using Your Anthem Benefits Before the Plan Year Resets

Using your Anthem benefits before the plan year resets means booking visits while your coverage is active. Many plans reset the annual maximum when a new plan year starts. Unused amounts often do not carry over. Booking earlier leaves time to finish treatment in steps.

According to the ADA Health Policy Institute, 58.2% of privately insured people visited a dentist last year.^[2] Only 28.4% of uninsured people did.

Booking early in the plan year offers these advantages:

• Helps you use preventive visits that many plans pay at the highest level
• Provides time to schedule follow-up treatment before the plan year ends
• Encourages earlier booking, so your preferred appointment day stays open
• Creates room to spread treatment visits across the plan year

Who You Will See: Dr. Solomon Heifets, DDS, and Our Hygiene Team

You will see Dr. Solomon Heifets, DDS, and our hygiene team at your Anthem visit. Dr. Heifets holds a DDS from Moldova University School of Dental Medicine and serves as our main dentist. Anthem PPO members see him as their Anthem dentist in Pasadena. Bianca, our hygienist, holds a bachelor's degree in biology and is certified in laser dentistry. She speaks English and Spanish, and she focuses on patient education during cleanings.

Pasadena Dental Office and Orthodontics gives Anthem PPO members in Pasadena a clear path from card to chair. Our team verifies your plan with Anthem, explains your estimate, and files your claim after treatment. Schedule your Anthem appointment at 181 N Hill Avenue, Pasadena, CA 91106, or call (626) 219-7180. We are open Monday through Friday from 9AM to 6PM and closed on weekends. Choose a time on our online booking page, and bring your member card to the first visit.