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Eligibility Benefits and Covered Services*

WEBMONTHLY RATES* ENROLLMENT TYPE OPTION 1 (NY 06807) OPTION 2 (NY 06808) Individual $46.32 $27.52 Individual & Spouse $82.55 $46.92 *Dental rates are …

Actived: 9 days ago

URL: http://www.dentalinfo.biz/Independent_Health/2023_Ind_Hea_Information_and_Application.pdf

Independent Health 55+ Enrollment

WEBTo enroll, you must also be enrolled with the Independent Health 55+ Plan. You have two Delta Dental PPO plan options available to you. your on-line Enrollment Form must be …

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Two great dental programs

WEBenrolled or planning to enroll in one of Kaiser Permanente’s medical plans a choice of the dental plans described below. Option 1 is a dental PPO plan underwritten by Kaiser …

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DELTA DENTAL PPO : COVERED

WEBEligibility Primary enrollee, spouse (includes domestic partner) . Deductibles $100 per person each calendar year Deductibles waived for Diagnostic & Preventive (D & P)? Yes

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SUNOCO, INC. GROUP PLAN

WEB[Sunoco, Inc. Group Plan] Dental Plan Evidence of Coverage EOC-PP-07 1 Delta Dental One Delta Drive Mechanicsburg, PA 17055 INTRODUCTION Delta Dental is pleased to …

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HOW TO ENROLL IN INDEPENDENT HEALTH’S 55+ DENTAL …

WEBIn order to be eligible for benefits beginning the first of any month, your Enrollment Form and payment must be postmarked by the 20th of the prior month. If you have any …

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Kaiser Permanente Insurance Company Dental Insurance

WEBDelta Dental of California PO Box 997330 Sacramento, CA 95899. For claims and benefit questions, contact our dental Customer Service Department at: 1-800-835-2244. If You …

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Option 1 Option 2

WEBFor a complete list of participating dentists, visit www.midatlanticdeltadental.com. If you have questions or are interested in enrolling in the 55+ Dental Plan, call Independent …

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INDEPENDENT HEALTH ASSOCIATION, INC. (INDEPENDENT …

WEBIf you are hearing impaired, you may call our toll-free TTY/TDD number at (888) 373-3582. You can also access Delta Dental’s automated information line at (800) 932-0783 to …

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WLFPK Notice of Privacy Practices

WEBYour Rights Regarding PHI. You have the right to request an inspection of and obtain a copy of your PHI.You may access your PHI by contacting, Wolfpack Insurance Services, …

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