Rates for Empire Individual Dental Pediatric plans are pending approval of the New York State Department of Financial Services. The plan details are a summary for informational and comparison purposes only. Review the evidence of coverage / insurance policy (plan contract) for a detailed description of coverage benefits, co-pays, coinsurance, deductibles, limitations, and exclusions. Overview of coverage and member's share of costs (after deductible, if any) are for benefits received in-network. Member's share of costs may be more out-of-network. The rates quoted on this site are subject to change. Rates may change for a variety of reasons including, but not limited to, plan effective date, age of applicant(s), geographic location and other factors. Final rates will be set by Empire Blue Cross and Blue Shield as part of the enrollment process. If there is any difference between Empire Blue Cross and Blue Shield's rate assigned during enrollment and the rates quoted on this site, Empire Blue Cross and Blue Shield's assigned rate will prevail.