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- Dental Source :: Dental Health Care Plans
*If you're looking for an individual policy Dental Source currently offers Plan E only If you have any questions please feel free to contact Dental Source at (866) 481-9473
- Dental Source of MO KS, Inc
Lab and sterilization fees are not covered by the Dental Source Program Specialist services are available in most areas and include Orthodontics, Endodontics, Periodontics, Pedodontics and Oral Surgery
- Dental Source
In the event of a dental emergency, Dental Source members should contact their selected Dental Source provider If the Dental Source provider is unavailable for emergency care within 24 hours, members may obtain emergency services from any licensed dentist The covered emergency services include palliative treatment to control pain,
- Dental Source Plan E Enrollment Form
Dental Source is a dental prepaid plan licensed by the Missouri and Kansas Department of Insurance Make checks payable to FCL Dental Plans Mail this form to: FCL Dental Plans 101 Parklane Blvd , Suite 301 SUGAR LAND, TX 77478 Phone: (281) 313-7170 or 1-800-660-6064 Fax: (281) 313-7155
- Dental Source 866-481-9473 FAX 281-313-7155 Dental Health Care Plan
Dental Source of MO KS, Inc Phone (866) 481-9473 Fax (281)313-7155 CVRPLANE Statemo1-09 Dental Source Dental Health Care Plan DHMO PLAN E Underwritten Administered by: Dental Source of Missouri Kansas, Inc No deductibles No annual or lifetime maximums No waiting periods No pre-existing condition exclusions No claim forms
- Enrollment Application Other Important Questions Dental Source
Applications received by Dental Source on or before the 25th of the month will be effective on the 1st day of the following month Contact our customer service department for confirmation before scheduling a dental appointment Can I change dentists? Yes you can As long as there is not a balance due to your current dentist, you can select another
- Dental Source of Missouri Kansas State of Missouri Premiere Plan (100 . . .
Dental Source of Missouri Kansas State of Missouri Premiere Plan (100 80 50) dental plan must have been in effect continuously for at least 12 All employees insured on the effective date with continuous 3 A minimum of three (3) enrolled members are needed for an
- COMPLETE THIS SECTION ONLY IF Address THE INFORMATION HAS CHANGED SINCE . . .
Dental Source First Continental Life Accident 101 Parklane Blvd, Suite 301 Member Name City State Zip Code I wish to make the changes indicated for the following eligible family members:
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