After the open enrollment deadline, you may still qualify to enroll with a life changing event. Please contact Member Services.

Enrollment and renewal in the Dental Blue plan is not automatic. Cancellation requests must be sent to Mservices@huhs.harvard.edu prior to the effective date of coverage or within three days of submitting your enrollment application. After this date, we are unable to process a refund. 

Open Enrollment and Effective Dates of Coverage
Fall Term               Spring Term*
Open enrollment:
June - September 30
Open enrollment:
January - February 28
Effective dates of coverage:
August 1 - July 31
Effective dates of coverage:
January 1 - July 31

*To qualify for spring term enrollment you must meet one of these criteria:

  • New incoming Harvard student starting in the spring term
  • Returning from a fall term leave of absence
  • A life changing event

Applications received after the deadline(s) will only be granted with either a life changing event or confirmation that the online application was submitted prior to the deadline.

Eligibility

  • Harvard students and their dependents (student must be participating in the dental plan)
  • Extension School students and their dependents (student must be participating in the dental plan when adding dependents. Contact Student Financial Services Office to enroll)
  • Affiliates are not eligible to participate in this dental plan

Dependent Eligibility

Dependents can be added during open enrollment or with a life changing event when the student is enrolled. There is an additional fee to add dependents. Enrollment and/or renewal is not automatic (for students or their dependents).

Documentation is required for each family member enrolled in the dental plan.

  • Married spouse
  • Dependent children (under the age of 26)
    Beware: The Student Health Insurance Plan (BCBSMA) includes a dental benefit for members under the age of 19. Compare the Student Health Insurance Plan Summary to this optional Dental Blue plan to make an informed decision about enrolling.

enrollment process

Students:

If you are enrolling in an individual plan (no dependents), enrollment is done online through the student insurance portal. Select the “Enroll Now: Student Only” button. 

  • The cost of the plan will be applied to your student bill
  • Only new members to the plan will receive ID cards

Student Plus Dependent(s):

If you are enrolling with a dependent(s), select the “Enroll Now: Student Plus Dependent(s)" button.

  • Complete and submit the dental application (with required documentation, if applicable) to Member Services. Extension students should submit their application to the Extension School.
  • The cost of the plan is applied to your student bill
  • Only new members to the plan will receive ID cards

Required documentation

We require documentation for each family member enrolled in the dental plan. Documents must be in English and are only required for initial enrollment (and are not necessary when you renew dependents for subsequent terms). The Harvard Student Agency is a non-profit certified translation agency that can provide you with certified translations in 18 languages.

  • Married spouse: marriage certificate or I20 form for international students
  • Dependent children: Birth certificate, legal documentation of adoption or guardianship, or DS-2019 form for international students

Submit your completed dental application and documentation (if required) to:

Postal Mail
HUSHP Member Services
75 Mt. Auburn Street
Cambridge, MA 02138

Email
mservices@huhs.harvard.edu

Fax
617-496-6125

Extension School student should return their application to the Extension School.

rates

Charges are applied to your student bill for the full amount. The charges may not appear on your student bill for several weeks after the start of coverage. Purchasing coverage monthly is not available.

Rates for August 1, 2018 - July 31, 2019

Student only $542
Student + 1 dependent $1,047
Student + 2 or more dependents $1,616


Note: Rates for spring term enrollment are posted on the enrollment form. Learn more.

Benefits and Coverage

This plan has a $1,500 plan-year maximum and includes a maximum rollover benefit that allows for additional dollars for future plan years.

Preventive Benefit Group Basic Benefit Group Major Benefit Group
No Deductible $50 per member/$150 per Family Plan Year Deductible

$50 per member/$150 per Family Plan Year Deductible

Full Coverage 60% Coverage 40% Coverage
Preventive Diagnostic Restorative
Oral Surgery
Periodontics
Endodontics
Prosthetic Maintenance
Other Services
Prosthodontics
Major Restorative

Please note: Orthodontics is not a covered benefit under this plan. For more detailed coverage information, including restrictions, review the Benefits Summary or contact Blue Cross Blue Shield at 1 (800) 257-8141 and reference group number 002348115.

Dentist Network

Dental Blue members have the freedom to seek care from dentists who participate in the BCBS Dental Blue network or use out-of-network providers. However, if you use an out-of-network dentist your out-of-pocket costs will be higher. You may be balance billed for any difference between the dentist's actual charge and the allowed charge, whichever is less.

You should receive dental care from providers who participate in the BCBS Dental Blue network in order to receive the highest level of coverage.

In-network providers:

Harvard Dental Service
114 Mt. Auburn St., Cambridge
Schedule an appointment by calling (617) 495-2063

HSDM Dental Clinic
Longwood Medical area
Schedule an appointment by calling (617) 432-1434

Dental Blue network
Select “Dental Blue” network to find a provider in Massachusetts or Rhode Island
Select "Dentemax Network of Dentists" to find a provider nationwide

You may also call Blue Cross Blue Shield at 1 (800) 257-8141 and reference group number 002348115.

LIFE CHANGING EVENTS

Students can enroll in the dental plan after the open enrollment deadline(s) with a life changing event. We are unable to process applications received after the open enrollment deadline without a life changing event. Students can submit documentation within 30 days of the life changing event along with a completed enrollment form to Member Services. The coverage and cost are pro‐rated to the first day of the month of the event. Students may enroll dependents due to a life changing event only when the student is already enrolled.

  • Legal adoption or legal guardianship: Legal documentation of adoption or guardianship, or DS-2019 form for international students
  • Marriage: Marriage certificate or I20 form for international students
  • Dependent entry into the country: A copy of the dependent's passport with the entry date stamped for when the dependent arrived into the United States
  • Other dental insurance coverage ending: A copy of insurance termination letter

 

Cancellation Policy

Cancellation requests must be sent to Mservices@huhs.harvard.edu prior to the effective date of coverage (August 1) or within three business days upon submitting your enrollment application. After this date, we are unable to process a refund. There is no appealing this policy.