Advantages of Anthem’s California Dental Net HMO Plan
Low copay & no deductible
No deductible for preventive and diagnostic services after a $10 office visit copay.
Unlimited cleanings
Get unlimited cleanings and fluoride treatments with a low copay (or no copay at all).
Choose your doctor
Take your pick of general dentists and specialists for the nearly 500 dental procedures covered.
Dental Services and Copay Schedule:
|
Dental Net 3000 Services |
Copays |
|---|---|
|
Office visits |
$10 |
Copays |
|
|---|---|
Dental Net 3000 Services |
|
|
Office visits |
$10 |
|
Diagnostic and preventive services |
Copays |
|---|---|
|
Exams |
$0 |
|
X-rays |
$0 |
|
Cleanings |
$0 |
|
Fluoride applications |
$0 |
|
Sealants |
$0 |
Copays |
|
|---|---|
Diagnostic and preventive services |
|
|
Exams |
$0 |
|
X-rays |
$0 |
|
Cleanings |
$0 |
|
Fluoride applications |
$0 |
|
Sealants |
$0 |
|
Restorative services |
Copays |
|---|---|
|
Fillings (one surface resin composite, anterior) |
$20 |
|
Fillings (one surface resin composite, posterior) |
$65 |
|
Crowns |
$55 |
Copays |
|
|---|---|
Restorative services |
|
|
Fillings (one surface resin composite, anterior) |
$20 |
|
Fillings (one surface resin composite, posterior) |
$65 |
|
Crowns |
$55 |
|
Endodonic services |
Copays |
|---|---|
|
Root canals (anterior) |
$90 |
Copays |
|
|---|---|
Endodonic services |
|
|
Root canals (anterior) |
$90 |
|
Periodontal services |
Copays |
|---|---|
|
Scaling and root planing (1 to 3 teeth) |
$35 |
Copays |
|
|---|---|
Periodontal services |
|
|
Scaling and root planing (1 to 3 teeth) |
$35 |
|
Prosthodontic services |
Copays |
|---|---|
|
Dentures (complete upper or lower) |
$215 |
|
Crown (porcelain fused to high noble metal) |
$225 |
Copays |
|
|---|---|
Prosthodontic services |
|
|
Dentures (complete upper or lower) |
$215 |
|
Crown (porcelain fused to high noble metal) |
$225 |
|
Oral surgery |
Copays |
|---|---|
|
Extraction (erupted tooth or exposed roots) |
$5 |
|
Removal of impacted tooth (completely boney) |
$90 |
Copays |
|
|---|---|
Oral surgery |
|
|
Extraction (erupted tooth or exposed roots) |
$5 |
|
Removal of impacted tooth (completely boney) |
$90 |
Anthem’s DHMO Compared to the Competition
Eligible Counties in California.
Dental HMO applicants must reside in one of these counties to enroll: Alameda County; Contra Costa; El Dorado except for Placerville and Lake Tahoe; Fresno; Kern except for Delano, Mojave, Taft, and Tehachapi; Kings except for Hanford; Los Angeles; Marin; Monterey except for Salinas; Orange; Placer except for Lake Tahoe; Riverside except for Banning/Beaumont and Blythe; Sacramento; San Bernardino except for Twenty-Nine Palms and Vicinity, and Yucca Valley; San Diego; San Francisco; San Joaquin; San Luis Obispo; San Mateo; Santa Clara; Santa Cruz except for the city of Santa Cruz; Solano; Sonoma; Tulare except for Visalia; Ventura except for Santa Paula/Fillmore.