Glossary of Terms
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Getting Started My Costs My Benefits
My Dentist Claims Policies/Legal Enroll/Renew
 
Getting Started
 
 

Disclosure Form / Contract
Texas Notice of Complaint
What is the Senior Dental HMO Program ("Program")?
Who is eligible for coverage?
How do I enroll?
What will my Effective Date be?
How to use the Program / Choice of Contract Dentist

 
 
 
HOW DO I ENROLL?  
 
  1. First, please read all the information contained in this Contract (particularly the Schedule of Benefits and Copayments, Limitations and Exclusions). This way you will know what procedures are covered and what your Copayments and Premium will be.
  2. Next, from the network directory choose a dental facility that is convenient for your treatment.
  3. Finally, complete the Enrollment and Payment Authorization Form and indicate which contract facility you have chosen.
 
 
 
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