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Dental
Regular visits to your dentist can protect more than your smile; they can help protect your health. Recent studies
have linked gum disease to conditions elsewhere in the body and dentists are able to screen for oral symptoms of
many other diseases including cancer, diabetes, and heart disease.
San Diego Natural History Museum
offers you a
choice between two dental plans through Anthem.
Anthem DHMO Plan
“Dental Net” Network
Anthem DPPO plan
“Dental Complete” Network
In-Network
In-Network
Out-Of-Network*
Calendar Year Deductible
Individual
Family
None
None
$50
$150
$50
$150
Calendar Year Annual Plan
Maximum
Unlimited
$1,500
$1,500
Diagnostic & Preventive
Plan pays
Plan pays
Office Visit
No Charge
100%
100% (up to UCR)
0120 Periodic Oral Evaluation
No Charge
100%
100% (up to UCR)
1110 Routine Cleaning
(adult & child)
No Charge
100%
100% (up to UCR)
0210 X-Rays: Full Mouth Series
No Charge
100%
100% (up to UCR)
Basic Services
Plan pays 80%
Plan pays 80%
2140 Amalgam Filling (Silver)
No Charge
3310 Endodontics
$90 Copay
4210 Periodontics
$95 Copay
Major Services
2740 Porcelain/Metal Crown
$175 Copay
Plan pays 50%
Plan pays 50%
5110 Complete Denture
$175 Copay
Plan pays 50%
Plan pays 50%
6010 Endoseal Implant
(surgical placement)
Not Covered
Not Covered
Not Covered
Orthodontics
8080 Child (to age 19)
$1,695 Copay
Not Covered
8090 Adult (age 19 and older)
$1,895 Copay
Not Covered
*
Plan pays up to 90
th
percentile of UCR (Usual, Customary, & Reasonable); member may be balanced billed by out of network
providers billing over the UCR amount
Need to Find a Dentist?
1.
Visit
https://www.anthem.com/ca/health-insurance/provider-directory/searchcriteria and under the Search as a
Guest section, click
Search
by Selecting a
Plan or Network
2.
“What type of care are you searching for?” Select
Dental
3.
“What State do you want to search in?” Select
California
4.
“Select a plan/network” For DHMO, you will want to choose
Dental Net HMO
and for the PPO plan, select
Dental Complete
.
5.
Click
Continue
6.
You can look providers up by specialty, name, location, accepting new patients and more.
7.
Click
Search
for the results