Enrollment and renewal in the Dental Blue plan are not automatic. 

Due to COVID-19 and distance learning this academic year, we have added an optional Spring Term enrollment period for those who did not elect to participate in the Fall enrollment period.

Open Enrollment and Effective Dates of Coverage

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

*Applications received after the deadline(s) will only be granted with either a life changing event, or confirmation that an online application was submitted prior to the deadline or during the next open enrollment period. 

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). 

  • 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 to:

HUSHP Member Services Email:
mservices@huhs.harvard.edu

Extension School students 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 Fall Term enrollment: August 1 - July 31

Student only $528
Student + 1 dependent $1,019
Student + 2 or more dependents $1,573

 

Rates for Spring Term enrollment: February 1 - July 31

Student only $264
Student + 1 dependent $509
Student + 2 or more dependents $786

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

Dental Maximum Liability

Members with a Blue Cross dental plan may only be charged up to the fee schedule amount for additional covered services, according to the in-network dental provider’s contracted fee schedule, even after reaching their benefit maximums. This includes:

  • Annual maximums (calendar year and plan year) and orthodontic lifetime maximums
  • Time limits
  • Frequencies

Previously, members may have been billed for the provider’s charge beyond the fee schedule amount when they received care after reaching their maximum. This change enhances the member experience by providing more value and making needed care more affordable.

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. Find an in-network dentist

In-network providers:

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

Important notice: The Harvard Dental Service will be closing as of December 31, 2020. [Read more about the Dental closure] Currently, they are addressing emergency procedures that are pre-screened by phone with their on-call dentist. If you feel your issue is urgent, please contact the on-call dentist at (617) 692-0755.  

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

Dental Blue network
Select the “Dental Blue” network 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

We are unable to process applications received after the open enrollment deadline without a life changing event.

Coverage and cost will be pro‐rated to the day of the event.  

Documentation and enrollment application must be received within 60 days of the event and the following is required:

  • Official document of the event with your name (and/or name of dependents, if applicable) and the date of the event on the document 
  • Submit documentation and enrollment application to Member Services by email at mservices@huhs.harvard.edu

Note: You are fully responsible to follow up with us to ensure that we received your application and request to enroll within 10 business days of enrollment if you do not hear from us.

Life Changing Event for Students:

  • Other dental insurance coverage ending: A copy of the official insurance termination letter

Life Changing Events for Student Dependents:

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 the official insurance termination letter

Submit your completed dental application and documentation to HUSHP Member Services:

Office: (617) 495-2008

Email: mservices@huhs.harvard.edu

Web: www.hushp.harvard.edu