BlueDental and BlueVision online application
Apply for vision and dental coverage today
Whether you're looking for comprehensive dental coverage, vision benefits, or both, we've made the application process even more simple and convenient. Start your application now and take the first step toward better health and peace of mind!
Here’s how to get started:
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Individual Applicants: After you submit your application, you’ll receive a confirmation email with a copy of your completed application. If your application is approved, you’ll also receive a Schedule of Benefits Summary, which will include your dental and/or vision coverage effective date. Only Nebraska HeartlandBlue members who are approved for and enrolled in BlueDental will receive a separate ID card.
Agents: After you complete your part of the application, the subscriber will receive an email to review, sign, and submit it before their dental and/or vision coverage can start. Both you and the subscriber will receive confirmation emails with a copy of the completed application. The subscriber will also get a Schedule of Benefits Summary that includes their dental and/or vision coverage start date. Only Nebraska HeartlandBlue members who sign up for BlueDental will receive a separate ID card.
Note: The purchase of a Blue Cross and Blue Shield of Nebraska dental or medical plan is required to purchase a vision plan.
2026 individual and family vision
Summary of Benefits |
||
|---|---|---|
| Vision exam (once every calendar year) | $10 copay | |
| Standard contact lens fit and follow-up exam Discounted |
Up to $40 | |
| Frames (once every calendar year) | Choice of allowance: $130/$150/$200 20% discount off the balance |
|
| Lens Standard plastic lens (once every calendar year) Single vision, standard bifocal, standard trifocal and standard lenticular |
$10 copay | |
| Standard progressive lens | $75 copay | |
| Premium progressive lens | Copay for Tiers 1/2/3: $95/$105/$120 Tier 4: $75 copay, plus 80% of charge less $120 |
|
| Lens option Standard anti-reflective coating, tint, UV coating, standard polycarbonate |
Various copayments per lens option – approximately equivalent to a 20% discount | |
| Premium anti-reflective coating | Copay for Tiers 1/2: $57/$68 Tier 3: 80% of retail |
|
| Contact lenses (once every calendar year - in lieu of lenses and lens options) Conventional |
Choice of allowance: $130/$150/$200 15% discount off the balance |
|
| Disposable |
Balance over $130/$150/$200 | |
| Medically necessary |
Paid in full | |
| Lasik and PRK benefit |
15% off retail price or 5% off promotional price | |
| Shades of Blue |
Included | |
Summary of Benefits |
||
|---|---|---|
| Vision exam (once every calendar year) | $10 copay | |
| Standard contact lens fit and follow-up exam Discounted |
Up to $40 | |
| Frames (once every calendar year) | Choice of allowance: $130/$150/$200 20% discount off the balance |
|
| Lens Standard plastic lens (once every calendar year) Single vision, standard bifocal, standard trifocal and standard lenticular |
$10 copay | |
| Standard progressive lens | $75 copay | |
| Premium progressive lens | Copay for Tiers 1/2/3: $95/$105/$120 Tier 4: $75 copay, plus 80% of charge less $120 |
|
| Lens option Standard anti-reflective coating, tint, UV coating, standard polycarbonate |
Various copayments per lens option – approximately equivalent to a 20% discount | |
| Premium anti-reflective coating | Copay for Tiers 1/2: $57/$68 Tier 3: 80% of retail |
|
| Contact lenses (once every calendar year - in lieu of lenses and lens options) Conventional |
Choice of allowance: $130/$150/$200 15% discount off the balance |
|
| Disposable | Balance over $130/$150/$200 | |
| Medically necessary | Paid in full | |
| Lasik and PRK benefit | 15% off retail price or 5% off promotional price | |
| Shades of Blue | Included | |
2026 monthly individual and family vision rates
Plan Name |
Subscriber |
Subscriber + 1 Dependent |
Subscriber + Family |
|---|---|---|---|
| BlueVision 130 ($130 frame allowance) | $12.56 | $23.86 | $35.04 |
| BlueVision 150 ($150 frame allowance) | $14.27 | $27.12 | $39.82 |
| BlueVision 200 ($200 frame allowance) | $18.69 | $35.51 | $52.14 |
Plan Name |
|
|---|---|
| BlueVision 130 ($130 frame allowance) | |
|
Subscriber |
$12.56 |
|
Subscriber + 1 Dependent |
$23.86 |
|
Subscriber + Family |
$35.04 |
| BlueVision 150 ($150 frame allowance) | |
|
Subscriber |
$14.27 |
|
Subscriber + 1 Dependent |
$27.12 |
|
Subscriber + Family |
$39.82 |
| BlueVision 200 ($200 frame allowance) | |
|
Subscriber |
$18.69 |
|
Subscriber + 1 Dependent |
$35.51 |
|
Subscriber + Family |
$52.14 |
View our Individual/Family BlueVision Brochure
All Vision Plans Include Shades of Blue Benefit at no additional cost!
Shades of Blue: See clearly, shine bright
Who says routine eye exams can't come with a little extra style? With the Shades of Blue sunglass benefit from Blue Cross and Blue Shield of Nebraska, you and your covered spouse can score a FREE pair of designer sunglasses every other year—just for keeping up with your eye health! From Oakley to Ray-Ban and beyond, you’ll have dozens of stylish options to choose from. And the best part? This benefit is included in every plan, so you can pair your new shades with fresh eyeglasses or contact lenses and step out in style.
Choose the right dental plan for you
Flexible coverage. Trusted care. Affordable options.
We offer three individual dental plan options to fit your needs and your budget.
BlueDental 750I don’t go to the dentist a lot; I just go in for my preventive check-ups and cleanings. |
BlueDental 1200I may have cavities or a tooth that needs to be pulled. |
BlueDental 1500I have more complex dental issues and may require a crown or dentures. |
||||
|---|---|---|---|---|---|---|
| Deductible | $100 per person per calendar year (applies to Coverage B Services) | $100 per person per calendar year (applies to Coverage B and C Services) | $50 per person per calendar year (applies to Coverage B and C Services) | |||
| Calendar year maximum | $750 per person calendar year (applies to Coverage A and B Services) | $1,200 per person per calendar year (applies to Coverage A, B and C Services) | $1,500 per person per calendar year (applies to Coverage A, B and C services) | |||
| Coinsurance (what you pay) | ||||||
| In network | Out of network | In network |
Out of network |
In network |
Out of network |
|
| Coverage A services Preventive and diagnostic dentistry |
0% | 0% | 20% | 20% | 0% | 0% |
| Coverage B services Maintenance and simple restorative dentistry and oral surgery |
50% |
50% | 50% | 50% | 50% | 50% |
| Coverage C services Complex restorative dentistry, periodontic and endodontics |
Not covered | Not covered | 50% | 50% | 50% | 50% |
| 2026 Monthly premium rates | ||||||
| Subscriber | $31.14 | $37.45 | $48.05 | |||
| Subscriber + one |
$60.73 | $73.03 | $93.71 | |||
| Family1 | $111.95 | $134.63 | $172.74 | |||
| Waiting periods2 | ||||||
| Coverage A | Coverage B | Coverage C | ||||
| BlueDental 750 | None | 3 months | Not applicable | |||
| BlueDental 1200 |
None | None | 12 months | |||
| BlueDental 1500 | None | None | 12 months | |||
BlueDental 750I don’t go to the dentist a lot; I just go in for my preventive check-ups and cleanings. |
||
|---|---|---|
| Deductible | $100 per person per calendar year (applies to Coverage B Services) | |
| Calendar Year Maximum | $750 per person calendar year (applies to Coverage A and B Services) | |
| Coinsurance (What You Pay) | ||
| In network | Out of Network | |
| Coverage A Services Preventive and Diagnostic Dentistry |
0% | 0% |
| Coverage B Services Maintenance and Simple Restorative Dentistry and Oral Surgery |
50% |
50% |
| Coverage C Services Complex Restorative Dentistry, Periodontic and Endodontics |
Not covered | Not covered |
| 2026 Monthly Premium Rates | ||
| Subscriber | $31.14 | |
| Subscriber + one | $60.73 | |
| Family1 | $111.95 | |
| Waiting periods2 | ||
| Coverage A | None | |
| Coverage B | 3 months | |
| Coverage C | Not applicable | |
BlueDental 1200I may have cavities or a tooth that needs to be pulled. |
||
|---|---|---|
| Deductible | $100 per person per calendar year (applies to Coverage B and C Services) | |
| Calendar Year Maximum | $1,200 per person per calendar year (applies to Coverage A, B and C Services) | |
| Coinsurance (What You Pay) | ||
| In network |
Out of Network |
|
| Coverage A Services Preventative and Diagnostic Dentistry |
20% | 20% |
| Coverage B Services Maintenance and Simple Restorative Dentistry and Oral Surgery |
50% | 50% |
| Coverage C Services Complex Restorative Dentistry, Periodontic and Endodontics |
50% | 50% |
| 2026 Monthly Premium Rates | ||
| Subscriber | $37.45 | |
| Subscriber + one |
$73.03 | |
| Family1 | $134.63 | |
| Waiting periods2 | ||
| Coverage A | None | |
| Coverage B | None | |
| Coverage C | 12 months | |
BlueDental 1500I have more complex dental issues and may require a crown or dentures. |
||
|---|---|---|
| Deductible | $50 per person per calendar year (applies to Coverage B and C Services) | |
| Calendar Year Maximum | $1,500 per person per calendar year (applies to Coverage A, B and C services) | |
| Coinsurance (What You Pay) | ||
| In network |
Out of Network |
|
| Coverage A Services Preventative and Diagnostic Dentistry |
0% | 0% |
| Coverage B Services Maintenance and Simple Restorative Dentistry and Oral Surgery |
50% | 50% |
| Coverage C Services Complex Restorative Dentistry, Periodontic and Endodontics |
50% | 50% |
| Monthly Premium Rates | ||
| Subscriber | $48.05 | |
| Subscriber + one |
$93.71 | |
| Family1 | $172.74 | |
| Waiting periods2 | ||
| Coverage A | None | |
| Coverage B | None | |
| Coverage C | 12 months | |
1 Dependents are covered up to the age of 26.
2 Waived when a BlueDental plan is purchased at the same time that a Medicare supplement, Armor
Health or Nebraska HeartlandBlue policy is purchased or renewed.
Please note: BlueDental does not cover services for orthodontic dentistry.
Coinsurance is based on the allowable charge for a covered service. Generally, the allowable charge for covered services by in-network providers will be the contract amount. The allowable charge for covered services by out-of-network providers will be based on the contracted amount for Nebraska providers or an amount determined by the on-site plan for out-of-area providers.
Download the brochure for more details on the covered services in each category.