Individual Plan Information For Capitation (DHMO) Dental Insurance Plans

Home > Individual Plans > Capitation (DHMO)

The following plan descriptions are available for download in pdf format (requires the free Adobe Reader):

Plans SM400 & SM600
AREA 1
Southern California

(Includes participating dentists in the following counties only: Imperial, Los Angeles, Orange, Riverside, San Bernadino, San Diego, Ventura. Different co-payments may apply outside plan area.)

Rates & Application Form

Plan SM400s Benefits

Plan SM600s Benefits

Evidence of Coverage/ Disclosure Statement

Find a Dentist

Plans SM400 & SM600
AREA 2
Central/Northern California

(Includes participating dentists in the following counties only: Alameda, Contra Costa, Fresno, Kern, Marin, Monterey, Napa, Sacramento, San Francisco, San Joaquin, San Luis Obispo, San Mateo, Santa Barbara, Santa Clara, Santa Cruz, Sonoma, Tulare. Different co-payments may apply outside plan area.)

Rates & Application Form

Plan SM400n Benefits

Plan SM600n Benefits

Evidence of Coverage/ Disclosure Statement

Find a Dentist

Please contact Dental Insurance Services if you have any questions about the enrollment procedures, or see the Frequently Asked Questions.

Many other plans are available by mail that are not available on-line. If you provide your mailing address we will send you brochures for the best plans that are available in your area.