My Benefits



	Benefits summary Emergency services Specialist Services Benefits, limitations and exclusions Description of benefits and copayments (Schedule A) Limitations of benefits (Schedule B) Benefits that are not covered (Schedule B)

BENEFITS, LIMITATIONS AND EXCLUSIONS

This Program provides the Benefits described in Schedule A subject to the Limitations and Exclusions described in Schedule B. The services are performed as needed and deemed necessary by your attending Contract Dentist.






HIPAA Notice of Privacy Practices \| Web Site Privacy Notice © 2008 Delta Dental