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.

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