BRIGHTSMILE DENTAL PLAN - POWERED BY BENTO
Dental benefits.
More reasons to smile.
Compare four BrightSmile Dental Plan options for preventive visits, fillings and major dental care—with no waiting periods and annual benefits up to $3,000 per member.
Plan 4 also offers child orthodontia benefits, subject to a separate lifetime maximum.
Understand your benefits. Choose with confidence.
4 Plan Options
choose the dental plan that fits your need
No Waiting
access all benefits on your effective date
$3k max benefit
based on the dental plan you select
See Any Dentist
no network requirements with BrightSmile plans
LET'S START WITH YOU
Different lives. Different dental care needs. Find a place to start that feels like you.
Compare BrightSmile dental plan options
PLAN 01
$1,000 annual max benefit
includes preventive & diagnostic services; basic restorative services; and major restorative servicesPLAN 02
$1,500 annual max benefit
includes preventive & diagnostic services; basic restorative services; and major restorative servicesPLAN 03
$3,000 annual max benefit
includes preventive & diagnostic services; basic restorative services; and major restorative servicesPLAN 04
$3,000 annual max benefit
includes preventive & diagnostic services; basic restorative services; and major restorative services + child orthoDeductibles: No deductible for preventive and diagnostic services. Basic and major services: $50 per member per year; $150 per family per year.
Balance Billing: There is no balance billng for covered dental services when using an in-network dental provider.
Annual Maximums:These limit what the plan pays per enrolled person per plan year. They are not out-of-pocket maximums.
Benefit Percentages:These apply to covered services and allowable amounts based on in-network contracted rates, subject to plan maximums and limitations.
PLANNING FOR BRACES
BrightSmile
Dental Plan 4 includes orthodontia for children under age 18.
Dental care for the entire family
Plan 4 also lists a $3,000 annual maximum benefit per member and provides for preventive & diagnostic care; basic restorative care; and major restorative care services.
Review the full treatment cost
Discuss eligibility, covered procedures, benefit payments and your share of treatment costs. The orthodontia lifetime maximum is not a cap on your personal expenses.
Dental benefits for everyday care and more
Preventive & Diagnostic Services
100% Coverage in-network | 100% out-of-network
ORAL EVALUATIONS
• Comprehensive evaluation, 1x every 60 months
• Periodic oral evaluations, 2x in a 12 month period from date of service
• Limited evaluation, 1x in 12 months, does not share frequency with periodic
X-RAYS
• Single tooth periapical x-rays, as required
• Bitewing x-rays, 1x every 12 months
• Full mouth x-rays, 1x every 60 months
• Panoramic x-ray, 1x every 60 months, does not share frequency with FMX
ROUTINE DENTAL CARE
• Routine dental cleaning, 2x in 12 months from first date of service
• Periodontal cleanings, 1x ?every 3 months after active periodotal
• Flouride treatments, 2x in 12 months for members under age 19
• Sealants for children under 16, 1x per unrestored permanent molar every 36 months
• Space maintainers for deciduous (baby) teeth, replacement limited to 1x every 60 months
Basic Restorative Services
80% Coverage in-network | 80% out-of-network
FILLINGS
• Amalgam (silver) fillilngs, 1 filling per tooth surface every 24 months
• Composite resin (white) fillings, 1 filling per tooth surface every 24 months
• Temporary fillings, 1 filling per tooth
ROOT CANAL TREATMENT (endodontics)
• Root canal on permanent teeth, 1x per tooth
• Vital pulpotomy, limited to deciduous teeth
• Retreatment of prior root canal on permanent teeth, 1x per tooth after 24 months have elapsed from initial treatment
• Root end surgery on permanent teeth, 1x per tooth
GUM TREATMENT (periodontics)
• Periodontal scaling and root planing, 1x per quadrant in 24 months. All four quads can be completed same day.
• Periodontal surgery, 1x per quadrant in 36 months
PROSTHETIC MAINTENANCE
• Repair of partial or complete dentures and bridges, 1x per 12 months after 24 months of initial insertion
• Reline or rebase partial or complete dentures, 1x within 36 months
• Recement of crowns, onlays, and bridges, 1x per tooth
ORAL SURGERY
• Simple tooth extractions, 1x per tooth
• Erupted or exposed root removal, 1x per tooth
• General anesthesia or intervenous sedation for complex surgical procedures
OTHER NECESSARY SERVICES
• Dental care to relieve pain (palliative care), 4x in 12 months
Major Restorative Services
50% Coverage in-network | 50% out-of-network
CROWNS
• Once per tooth in 60 months
IMPLANTS
• Endosteal implant (D6010), 1x per 84 months per implant
• Custom abutment (D6057), 1x per tooth in 60 months
• Abutment supported porcelain/ceramic crown (D6058), 1x per tooth in 60 months
TOOTH REPLACEMENT (prosthodontics)
• Removable complete or partial dentures, including service to fabricate, measure, fit, and adjust, 1x in 60 months
• Fixed bridges and crowns (when part of a bridge), including service to fabricate, measure, fit, and adjust, 1x per tooth in 60 months
• Replacement of dentures and bridges, but only when they are installed at 60 months after the initial placment and only if the existing appliance connot be made serviceable
• Temporary partial dentures to replace any of the six upper or lower front teeth, but only if they are installed immediately after the loss of teethh and during the period of healing
• Single tooth dental endosteal implants when the implant replaces permanent teeth through second molars, 1x per tooth in 60 months
• Orthodontia (braces) for children under age 18 covered up to 50% with a lifetime max of $1000 - Plan 4 only.
YOUR NEXT CHAPTER STARTS HERE
Find the dental plan that fits your need.
For yourself, your family or your team.
Let's explore what's possible, together.
LOOKING FOR A DENTIST
with BrightSmile
You can use any licensed dentist in the United States
Bento and partner networks
BrightSmile provides access to the national Bento Network, including platinum, gold and silver tiers. Partner networks listed in the brochure include DenteMax PPO, Connection Dental PPO and Cigna Shared Administration DPPO SA Plus.
Participating Bento and partner dentists use contracted rates for covered services with a no-balance-billing policy. You still pay your applicable share under the plan. Confirm participation for your dentist, office and treatment before scheduling.
Find an in-network dental provider through the Bento Dental Network
Out-of-network dental care
You can visit a licensed dentist outside these networks. The plan bases its payment on the dentist’s fee or the maximum allowable fee for non-network services, whichever is lower.
You are responsible for the remaining difference between the plan payment and the dentist’s charges when using covered dental services out-of-network. Ask for a written estimate and confirmation of benefits before receiving treatment.
Dentists can register through the Bento Dentist Portal.
MEMBER RESOURCES AND DENTAL SUPPORT
Manage your dental benefits
Visit member.bento.net for plan information and reimbursement submissions. If you pay upfront, submit an ADA claim form with your payment receipt.
Find dental information at Bentopedia. Your dentist can use the Bento portal to check procedure codes, coverage and exclusions.
Questions about your benefits?
MyBenefits.Online: 833-367-6830
membersupport@mybenefits.online
For dental billing and appointment support, contact the Bento Concierge through your member portal or email smile@bento.net.
BrightSmile Dental Plan FAQs
Get answers about waiting periods, dentists, braces, deductibles and costs before choosing a dental plan.
Speak with an SHC Benefits advisor at 866-656-2525.
- Is there a waiting period?
There is no waiting period for any BrightSmile Dental Plan. Covered services remain subject to the effective date, annual maximum, applicable deductible, frequency limits and plan provisions.
- Can I use my current dentist?
Yes. The plan works with any licensed dentist in the United States. Participating Bento and partner network dentists offer contracted rates. Out-of-network dentists may charge more than the plan allows, and you are responsible for the difference.
- What are the annual dental benefit maximums?
Plan 1 has a $1,000 maximum benefit per member per year. Plan 2 has $1,500. Plans 3 and 4 have $3,000. These maximums limit plan payments; they are not limits on your out-of-pocket costs.
- Does BrightSmile include braces for children?
Plan 4 includes orthodontia for children under age 18, covered up to 50% with a $1,000 lifetime maximum. The brochure lists this benefit in addition to the $3,000 annual maximum.
- What deductibles apply?
Preventive and diagnostic services have no deductible. Basic and major services have a $50 deductible per member per year, with a $150 family deductible per year.
- How much does the plan cost?
Monthly rates vary by the plan selected. Request a personalized quote from SHC Benefits or contact MyBenefits.Online at 833-367-6830 for complete rate information.
- What if I pay my dentist upfront?
Submit an ADA claim form and your payment receipt through member.bento.net to request reimbursement. Payment is subject to the applicable plan terms.
YOUR NEXT CHAPTER STARTS HERE
Find the dental plan that fits your need.
Start with a personalized quote. Review your preferred dentist, expected dental work, annual maximum and monthly cost with an SHC Benefits advisor.
Affordable. Accessible. Reliable.
Healthcare benefits built around you.