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Individual Dental Plans
  
Blue Cross Anthem
For the same premium... Why not protect your family, in case you pass away or become disabled?
 
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Dental Blue 05/10
Dental Blue Basic offers diagnostic and preventive coverage for such services as cleanings, exams and X-rays, as well as basic coverage for fillings. Benefits for stainless steel crowns and pulpotomies on primary teeth are also included. This plan has an annual maximum of $500.
There will be a six-month waiting period for restorative services.
Out-of-network services will be paid based on the Dental Blue 100 fee schedule.
Dental Blue Enhanced includes diagnostic and preventive coverage, benefits for basic services and major services like crowns, periodontal procedures and root canals. There is a six month waiting period for basic services (such as fillings) and a 12-month waiting period for major services. The plan has an annual maximum of $1,250, plus it includes orthodontic coverage for children after a 12-month waiting period.
Dental Select HMO 02/10
No annual maximums
No annual deductibles
No charge for cleanings, exams and X-rays*
Most fillings are covered with no copayment after a six-month waiting period
Orthodontics and other services available for fixed copayments
* A $5 office-visit copayment applies.
Dental Select HMO members must receive services from in-network providers, and we have nearly 5,000 to choose from in California.
Be sure to put our Agent Contact Info on the application.
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MultiFlex Dental Nationwide
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Safeguard Individual & Family Brochures Their dental plans include vision.
Paper Application Fax # 949.389.9706
If you do the ONLINE application - put in our Agent # 21993
Billing & Enrollment Issues 800.750.4303
Delta Dental
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Individual Delta Dental HMO brochure
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golden west dental.com/
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Dental Site - Dr. Dorfman DDS Excellent Site for Dental Information
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Dental Insurance 101
1 800 Dentist
Verify your Dentist in CA is licensed
CA Dental Assoc New Law for 1/2007 requiring dental screening for entering Kindergarten.
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From Health Net Website
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We encourage you to access some of our interesting and useful dental information that will help ensure better dental health and keep you educated on the dental industry.Please click on a selection below for more information:
The Dental Articles section provides dental information on a variety of topics including periodontal disease and oral cancer screening.
Tips and Trivia offers information on proper brushing and flossing techniques and little-known facts about the dental industry.
The Terminology section provides an A-Z guide of frequently used dental words including clinical terms, industry terms and specialty types.
Dental Market Information outlines the latest trends and statistics on dental products.
Web Site Links provides links to additional dental sites to help you find more dental information.
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Technical & Research Links
Cal Broker Magazine
UC R Dental Schedule - $25 Alternate webbdental.com/
TMJ - Medical Necessity
under Medical NOT Dental Coverage
tmj society.org/
tmj.org/
AB 2994, Brulte. Health insurance: benefit coverage.
... upper or lower jawbone, or associated bone joints. ...
This bill would provide that any provision of a prescribed health care service plan contract that excludes coverage for these surgical procedures shall have no force or effect if that provision results in any failure to provide medically-necessary services, as specified.
It would also require certain individual and group policies of disability insurance and certain nonprofit hospital service plans to provide coverage for these procedures except with respect to dental services, if each procedure being considered for reimbursement is deemed medically-necessary pursuant to the plan's or policy's definition of medical necessity.
FAQ's
Is there coverage for Dental Implants?
Generally No. See below for additional information and suggestions.
Dental implants may be thought of as artificial tooth roots which allow the fabricated teeth to be firmly attached to the mouth. One may consider the jaw bone as a piece of wood and a dental implant as a screw
Dr. Dorfman's DDS Website
Photo's
Boston Dental Implants Website(Archive.org)
Smile Implant Center.com
Taxes
You can include in medical expenses the amounts you pay for dental treatment. This includes fees paid to dentists for X-rays, fillings, braces, extractions, dentures, etc. including artificial teeth IRS Publication 502 Page 5 & 7
Implants are done when one doesn't want a bridge because it more permanent and look better even in the back of the mouth and in view of this it's considered cosmetic.
Unfortunately, implants are not a covered benefit. However, it is possible that Delta would provide an allowance for the covered benefit. It's best that the enrollee ask their dentist to submit a pre-determination to Delta so that Delta can determine the covered benefit (if any) and the enrollees responsibility for payment in advance.
Limitations:
The replacement of lost or stolen dentures, crown and bridge work, dental procedures and charges incurred as part of implants (placement or removal) and prosthetic devices placed on implants (fixed or removable, for example: bridges, crowns) are not covered. Smile Saver Brochure
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