DeltaCare® USA (DHMO)

DeltaCare USA (DHMO)Click to play Dental Video:Healthy Tip:Preschedule your next dental appointment at the end of your dental visit to maintain routine treatment for yourself and your family the DeltaCare USA program, many services are covered at no cost, while others have copayments (amount you pay your contract dentist) for certain benefits. See the copayments for the covered services on the following pages. >> Benefit Eligibility Note: All M-DCPS groups are eligible to enroll in the DeltaCare USA (DHMO)offered by the School Board. Current COBRA participants may only continue to enroll in DeltaCare USA (DHMO) if you were previously enrolled in vision.

D1206 Topical application of fluoride varnish - 2 per year; 2 D1206 or D1208 per year $0.00 D1208 Topical application of fluoride - excluding varnish - 2 per year; 2 D1206 or D1208 per year $0.00 D1310 Nutritional counseling for control of dental disease. $0.00 D1320 Tobacco counseling for the control and prevention of oral disease $0.00

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Tags:

  Varnish, Fluoride, Fluoride varnish

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