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DentalEssentials Online Application

This page is designed to help you select the DentalEssentials application that best fits your needs. Whether you’re an individual, a family or an agent, we’ve made it easy for you to select the right dental insurance plan. Start your application now and take the first step toward better dental health!

Here’s how to get started:

Are you an agent/broker? Select “Yes” if you are an agent or broker. Select “No” if you are applying for yourself or your family.

Once the agent has completed and signed the application, the consumer will receive an email to review, sign and submit before dental coverage can begin.

Membership Type: Choose “I need a single membership.” if you need coverage just for yourself. Choose “I need a family membership.” if you need coverage for multiple family members.

BCBSNE Medical Coverage Status: Select "I have a BCBSNE medical plan or want to get one with dental." if you already have a BCBSNE medical plan or want to sign up for one along with dental coverage. Select "I don’t have a BCBSNE medical plan and don’t want one. Please give me the dental application only." if you don’t have a BCBSNE medical plan and only want the dental application.

To waive B service waiting periods by adding dental to medical, the dental coverage will be effective on the same day the medical plan renews.

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Are you an agent/broker?

Which type of membership would you like to sign up for?

What is your BCBSNE medical coverage status?