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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. 

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 skip B service waiting periods, add dental coverage to your medical plan so it starts on the same day your 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?

Individual Applicants: After you submit your application, you will receive a confirmation email with a copy of the completed application. You will also get a Schedule of Benefits Summary that includes your dental coverage start date. Only Nebraska HeartlandBlue members who sign up for DentalEssentials 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 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 coverage start date. Only Nebraska HeartlandBlue members who sign up for DentalEssentials will receive a separate ID card.