File name: Delta Dental Ppo Coverage Pdf California

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Delta Dental Ppo Coverage Pdf California

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Delta Dental PPO™ Group Dental Service Contract INTRODUCTION The Contractholder named on the Group Information Attachment to this Contract applied for a group dental service . Products: Senior Dental · Pediatric Dental · Individual Dental · Stand-Alone Dental. Your dental plan is underwritten by Delta Dental of California (“Delta Dental”) and administered by Delta Dental Insurance Company. This Policy discloses the terms and conditions of this . are dental care services provided by dentists or other licensed dental care providers that are not contracted with your plan. State of California, Health and Human Services Agency-Dept of Managed Health Care: DMHC , Effective 9/1/ Delta Dental Individual & FamilyTM. Delta Dental PPOTM. Basic Plan for Families. Combined Policy and Disclosure Form. Provided by: Delta Dental Insurance Company (a Delaware Corporation) coverage amount PPO and Non-PPO. $ Annual Maximum (Policy Year) Under this Delta Dental PPO plan, you may visit any Provider of your choice. There.