We Got You Covered with Our Dental Insurance
Dental insurance coverage gives you an advantage in maintaining good dental health for life. In addition to our own plans, we accept most traditional indemnity insurance, as well as Denti-Cal in our California offices. To help you navigate the types of insurance coverage that are common among our patients, we offer you the following summary:
Indemnity Plans
Traditional insurance where a third party—an insurance company or administrator—provides service payment to your provider for a monthly premium paid by you or your employer. Any provider accepting the insurance can provide services. Normally, benefit coverage includes a stated individual and family deductible, annual benefit maximum, and co-insurance for covered services.
Preferred Provider Organization (PPO)
A benefit plan where the member can go to any provider chosen by the member, or the member can go to any one of a number of listed preferred providers and be subject to discounted fees to lower the member's co-insurance.
Dental Health Maintenance Organization (DHMO) Managed Care Plans
A legal entity that accepts the responsibility of providing services to enrolled members for a fixed monthly premium. Members must seek care through designated providers to whom the members have been assigned, selected, or referred. The member is normally required to pay a fixed copayment for covered services.
Denti-Cal
The Medi-Cal program in California for qualified low-income individuals and their families for obtaining dental care. Qualified beneficiaries can receive care at no cost for covered services at any California enrolled Denti-Cal provider location. Western Dental provides covered dental care services to Denti-Cal beneficiaries throughout the state at all of its locations.
Government Managed Care Programs
In addition to Denti-Cal, the state of California offers various managed care programs for low-income individuals. Western Dental is the largest staff model office provider of dental care to individuals enrolled in several of California's managed care programs including Healthy Families, GMC, and LAPHP. We are proud to extend quality dentistry to people who might otherwise find dental care unaffordable.