Hometown Health Senior Care Plus Dental Benefits

Get the most value from our online resources by creating a free, secure Online Services account. Register now to review the specific details of your plan:

• Find a network dentist near you
• Check your benefits and eligibility
• View or print your ID card (Please note: An ID card is not needed to receive services.)
• Go paperless by signing up to receive email notifications when a dental benefit statement is available online and discontinue your mailed statements. (Delta Dental PPO^TM enrollees only)

View a brief summary of your dental benefit plan to learn more about your coverage.

The following links provide a description of benefits, copayments and limitations of benefits. You may also call Delta Dental at 855-643-8513 (TTY 711) for more information.

Northern Nevada Plans

Northern Nevada Limited Medicare Network Preventive — Plan 12

Remember, you may only receive benefits for covered services provided by a participating Delta Dental Medicare network provider. In order to receive benefits under this plan, the dental care you receive must be covered services (please see the Evidence of Coverage for your plan) and they must be provided by a Delta Dental participating Medicare network provider. Delta Dental contracts with licensed dentists who may participate in other dental plans offered by Delta Dental. Not all of these dentists agree or contract with Delta Dental to be a participating provider in this dental plan for Hometown Health Senior Care Plus beneficiaries. We recommend that you verify that the dentist you select is a participating provider in this dental plan before each appointment.

• Participating Network Dentist Directory — Northern Nevada closed network

2021 Benefits

• Evidence of Coverage Northern Nevada Preventive Plan — Plan 12

Northern Nevada Open Network Preventive and Comprehensive — Plans 009, 018 and 023

You may see any provider for your covered treatment, whether the Provider is a Delta Dental participating Medicare provider, PPO provider, Premier provider or a non-Delta Dental provider. In addition, you can see different providers. You enjoy the largest benefit from your plan (lowest total copayments for comprehensive dental coverage and no balance billing for preventive services) when you choose a participating Delta Dental provider. To take full advantage of your dental plan, we highly recommend you verify the treating dentist’s participation status with your dental office before each appointment.

• Participating Network Dentist Directory — Northern Nevada open network

2021 Benefits

• Evidence of Coverage Northern Nevada Preventive Plan Open Network
• Evidence of Coverage Northern Nevada Comprehensive Plan Open Network

2020 Benefits

• Evidence of Coverage Northern Nevada Preventive Plan
• Evidence of Coverage Northern Nevada Comprehensive Plan

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Southern Nevada Comprehensive — Plans 019, 021, 022

Remember, you may only receive benefits for covered services provided by a participating provider. In order to receive benefits under this plan, the dental care you receive must be covered services and they must be provided by a Delta Dental participating Medicare provider. Delta Dental contracts with licensed dentists who may participate in other dental plans offered by Delta Dental. Not all of these dentists agree or contract with Delta Dental to be a participating provider in this dental plan for Hometown Health Senior Care Plus beneficiaries. We recommend that you verify that the dentist you select is a participating provider in this dental plan before each appointment.

• Participating Network Dentist Directory — Southern Nevada

2021 Benefits

• Evidence of Coverage Southern Nevada Comprehensive Plan

2020 Benefits

• Evidence of Coverage Southern Nevada Preventive Plan
• Evidence of Coverage Southern Nevada Comprehensive Plan