Plans and Providers
This program is administered
by the Managed Risk Medical Insurance Board (MRMIB).
Frequently Asked Questions about Dental Plans
|The information on this chart was provided by each plan.||Access Dental||Delta Dental||DeltaCare USA||Health Net Dental|
|Are members required to have a Primary Care Dentist (PCD)?||Yes||No||Yes||Yes|
|Are members required to get a referral from a PCD before going to a specialist (such as a Pedodontist)?||Yes||No||Yes||Yes|
|How many times in a benefit year does the plan allow a member to change his/her PCD?||24||Unlimited||12||Unlimited|
|On average, how soon can a member be seen for a routine dental check-up after requesting an appointment?(in weeks)||3 weeks||2 weeks||2 weeks||2 weeks|
|On average, how soon does it take to be seen if follow up dental care is necessary?(in weeks)||3 weeks||2 weeks||2 weeks||2 weeks|
|Total number of HFP members *||167,830||251,918||15,596||150,528|
|Does the plan require its members to use Binding Arbitration to resolve disputes? **||No||No||No||Yes|
|If yes, does the Binding Arbitration include Dental Malpractice?||N/A||N/A||N/A||Yes|
* This number represents the insurance plan's membership as of January 1, 2011.
** To get additional information about each insurance plan's dispute resolution provisions, call the plan or refer to the plan’s Disclosure Form and Evidence of Coverage booklet, which is available upon request from each health plan.
NOTE: These summaries are for information only. This is not a contract. For a detailed and precise statement of benefits and exclusions, please refer to your Evidence of Coverage/Certificate of Insurance.
To find out what plans are available to you, click here.