STAGE DEV MAY, 2013

Optional Supplemental Dental Plan - DeltaCare USA

Optional Supplemental Dental Plan - DeltaCare USA

Delta Dental of California offers a new voluntary dental plan to add to your CCHP Senior Program (HMO) membership. Delta Dental is the largest dental insurance company in California and is located in San Francisco. Having dental insurance helps protect you from unexpected dental expenses and makes it easier to afford regular checkups, cleanings and other preventive treatments you need to maintain good oral health.

DeltaCare USA

  • Oral Evaluation: $0 copay
  • X-rays: $0 copay (once per 6-month period)
  • Adult Cleaning – Prophylaxis (once per 6-month period): $0 copay
  • Nearly 300 procedures are covered

 

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2017 Cost Summary

Monthly Premium for Optional Supplemental Dental Plan: $16 (in addition to monthly plan premium)

 

For more information on your benefits and coverage, please refer to:

H0571_2017_276 Pending

Last updated 12212016

 

Disclaimer

CCHP Senior Program (HMO) is an HMO plan with a Medicare contract. Enrollment in CCHP Senior Program (HMO) depends on contract renewal. This plan is available to anyone who is enrolled in Medicare Part A and Part B and resides in our service area. You must continue to pay your Medicare Part B premium. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.  The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

This information is available for free in other languages. Please contact our customer service number at 1-888-775-7888 (TTY 1-877-681-8898) from 8:00 a.m. to 8:00 p.m., seven days a week.

Esta información está disponible gratuitamente en otros idiomas. Por favor póngase en contacto con nuestro número de servicio al cliente al 1-888-775-7888 (TTY 1-877-681-8898) de 8:00 a.m. a 8:00 p.m., siete días a la semana.

此文件有其它的語言版本免費提供。了解詳情請致電 1-888-775-7888 與會員服務中心聯絡( 聽力殘障人士請電 TTY 1-877-681-8898 ),每週 7 天,上午 8 時至晚上 8 時。

STAGE DEV MAY, 2013