WAYNE COUNTY HEALTHCHOICE, together with Golden Dental Plans of Michigan, is pleased to announce the new Welcome Dental Program, offered to every resident of Wayne County. All Wayne County Residents are eligible to join immediately!
The Welcome Dental Program will provide you and your family with complete dental care coverage. This plan offers affordable premiums which start at $16.50 per month for single coverage, $28.00 per month for a family of two, or $38.00 per month for a family of three-five!
- 100% Coverage on Exams, X-Rays and Cleanings
- With 100% coverage on preventive care, the Welcome Dental Program pays for itself!
- Easy to join, simply call 800-451-5918
Single
$16.50 per month
|
Family of two
$28 per month
|
Family of three to five
$38 per month
|
Look at how much a family of four can save!
Exams, X-rays, Prophylaxis (child and adult cleaning) NO CHARGE
| Service |
Normal Dentist's Fees |
GDP Members Pay |
| Exam |
$94.00 x 4 = $376.00 |
$0 |
| X-Rays |
$64.00 x 4 = $256.00 |
$0 |
| Adult Cleaning |
$89.00 x 2 = $178.00 |
$0 |
| Child Cleaning |
$46.00 x 2 = $92.00 |
$0 |
| Fluoride (children only) |
$39.00 x 2 = $78.00 |
$0 |
| Total Cost |
$980.00 |
$0 |
The total savings for a family of four - $980.00!
Remember, preventative care savings are greater than the cost of coverage!
| Managed Care Schedule of Benefits |
| Office Visit Fee |
$5.00 |
| Class I* Preventative and Diagnostic |
|
| Exams |
100% |
| Xrays (Pariapical and/or Bitewing) |
100% |
| Prophylaxis |
100% |
| Fluoride |
100% |
| Class II** Basic Restorative |
|
| Fillings |
75% |
| Root Canals |
75% |
| X-rays - (FMX or Panographic) |
75% |
| Extractions - Simple/Surgical |
75% |
| Class III*** Prosthetic |
|
| Crowns**** |
50% |
| Bridges |
50% |
| Partial or Complete Dentures |
50% |
|
| Class IV Specialty Care |
|
| Endodontics |
50% |
| Periodontics |
50% |
| Oral Surgery |
50% |
| Pedodontics |
50% |
| Class V Orthodontics |
|
| child (up to age 19) |
$1,500.00 |
| Adult (member and spouse) |
$750.00 |
ZOOM TEETH BLEACHING
($700.00 Value - Contact GDP for participating providers) |
$299.00 |
Annual Maximum
(Per family member, General Dentistry only) |
$1,500.00 |
Speciality Maximum
(Per family member, 6 month waiting period from effective date) |
$500.00 |
|
|
*Once every 6 months at a general dentist
**Procedure must be performed by a general dentist
***Crowns and Dentures are covered once in a period of 5 years
****Porcelain on crowns posterior to the 2nd bicuspid are considered cosmetic dentistry and therefore are not a covered benefit
All specialty appointments must accompany primary care referral.
|
How it works:
- Print the application card included in the Welcome Brochure.
- Fill out the enclosed application card.
- Select a dental office from the Provider Directory or Dentist Search, including the office facility number provided.
- Select your method of payment, check, money order or credit card. Make checks payable to HEALTHCHOICE WELCOME DENTAL PROGRAM
- Select payment interval, monthly, semi-annual or annual. Return the completed application and payment to:
Wayne County HealthChoice
Welcome Dental Program
640 Temple
Suite 370
Detroit, Mi 48201
- Applications received by the 15th of the month will be eligible for coverage effective the first day of the following month.
- Your Golden Dental Plans of Michigan I.D. card and enrollee handbook will be mailed out within 2 weeks after we receive your application.
- If you have any questions about the Welcome Dental Program, please contact Golden Dental Plans of Michigan at 1-800-451-5918 or Click here to have one of our representatives contact you. To contact WAYNE COUNTY HEALTHCHOICE, please call 1-800-WELL-NOW.