#site_config.memo_site_title#

Initial list of Covered California dental plans announced

Wednesday, Oct 12, 2016

Covered California has released some of the participating dental plans for the 2017 benefit year. Covered California's open enrollment period for 2017 coverage begins on Nov. 1 and ends Jan. 31, 2017. Family dental plans are offered during the renewal period, for Covered California members, and during open enrollment for new enrollees. There is no tax penalty for consumers who elect not to enroll in the family dental plan, and no financial assistance (in the form of a tax credit) is available for purchasers of the family dental plan.
 
Adult dental benefits are now available through family dental plans. All plans include free preventive and diagnostic care, like cleanings, X-rays and exams. In addition to the dental coverage available through family dental plans — which make dental benefits available to single adults, married adults, families and children — children’s dental coverage is still included as part of all health insurance plans sold through Covered California. This is known as “embedded children’s dental coverage.”
 

The current list of participating dental plans for 2017 includes:

2017 dental coverage available for individual or family plans

Access Dental Plan DHMO
Anthem Blue Cross DPPO
California Dental Network DHMO
Delta Dental of California DHMO and DPPO
Liberty Dental Plan DHMO
Premier Access DPPO

2017 dental coverage available for small businesses

Access Dental Plan DHMO
California Dental Network DHMO
Delta Dental of California DHMO and DPPO
Liberty Dental Plan DHMO
Premier Access DPPO

It is important to note that the 2017 embedded children's dental plans have not been determined yet. Details on 2017 embedded plans will be coming in the near future and CDA will keep its members updated as information becomes available.

For more information visit coveredca.com.

What dentists need to keep in mind:

Verify participation status: Dentists are encouraged to verify participation status with the dental plans in their area and confirm the reimbursement fee schedule for treating Covered California enrollees. Dentists should also advise patients when scheduling whether they participate as a contracted provider with the patient's plan.

Prior to seeing the patient, confirm the patient's eligibility and benefits: This action will save you time and challenges with dental plan payments.

Check on new deductibles/copayments for the year: Many plans' calendar year deductibles and visit frequency limitations were reset. Additionally, some patient plans may have new copayment amounts. This reinforces the importance of checking patient eligibility and benefits before the patient arrives for his or her visit.

  • CDA member dentists can contact TDIC Sales at 800.733.0633, option 1, for assistance with small business health and dental plan purchasing. Dentists may also contact CDA public affairs staff at 800.232.7645 for more information. Source: www.cda.org

Contact Information

IES Website Design & Development

You can contact us via email at , or reach us at the following address:

5401 Business Park South
Bakersfield, CA
USA