Welcome To Primecare Dental Plan

Whether or not you�re a participating dentist of our dental plan we trust you will find our company a valuable resource for high quality and affordable dental benefits.

We�ve developed fully licensed and regulated in-office dental plans designed just for our contracted dentists offering broad benefits and savings for all your patients. These plans include more than 300 dental benefit procedures available to your patients for services such as check-ups and x-rays; cleanings and extractions; crowns and bridges; dentures and implants; sedation and even cosmetics.

Primecare believes that it can attract and retain a competent network of dentists because of its potential ability to provide a reliable supply of new patients, its co-payment structure, and its timely remittance and structure of capitation fees.

Primecare has contracts with a network of more than 3,700 general and specialist dentists to provide dental benefits our California members. These dentists represent some of the most reputable Dentists practicing in California today.

Primecare�s Provider Selection committee, created by Primecare�s CEO and Dental Director, is comprised of members of the local dental community with expertise in peer review, utilization and managed care management. This Committee is responsible for reviewing and managing dental credentials of the provider network.

Becoming a Primecare Dental provider is as easy. Service Representatives are standing by to help you get started. Call us today at 1.800.937.3400.

Quality Assurance

Through the Quality Assurance Committee, Primecare continually evaluates and monitors the standard of care delivered to its enrollees in a manner consistent with both its obligations as a Knox-Keene licensee and its business objective of ensuring high-quality dental care for its enrollees. Primecare�s Dental Director, a licensed dentist, directly supervises the administration of its quality management program. In establishing a large network of competent dentists in convenient and strategic locations, Primecare engages in an active recruitment program that includes a screening of applications for network membership, personal visits to potential dentists, reference checks with state licensing authorities, validation of malpractice coverage, and initial certification.

The Company also engages in ongoing monitoring of its dentists through periodic on-site visits by its Dental Director. The Company maintains administrative systems to record, monitor, investigate, and promptly resolve all enrollee complaints regarding the dental services.

In-house Provider Dental Plans

Whether or not you�re a participating dentist of our dental plan we trust you will find our company a valuable resource for high quality and affordable dental benefits.

We�ve developed fully licensed and regulated in-office dental plans designed just for our contracted dentists offering broader benefits and savings for all your non-insured patients. These plans include more than 100 dental benefit procedures available to your patients for services such as check-ups and x-rays; cleanings and extractions; crowns and bridges; dentures and implants; sedation and even cosmetics.

Your patients will take comfort in knowing our plans are 100% voluntary without waiting periods, pre-existing conditions, claim forms or deductibles. Everyone is eligible. Everyone has access to coverage.

Plans are offered to individuals and their families for a one-time annual charge and can be marketed by your front office staff with minimal instruction and no special licensing requirements. We also provide your office with a significant commission for each enrolled applicant. That adds up to some significant commission dollars each month and provides a real incentive for your office staff.

Discount dental plans not licensed by a dental HMO have been deemed illegal by the California Department of Managed Healthcare (DMHC). The DMHC has recently begun taking action against these discount dental plans. If you are currently marketing or selling an in-office dental plan that is not licensed by the DMHC you are putting yourself, your practice and your patients at significant risk. Let Primecare help. Call us today for a fee schedule. Service Representatives are standing by to help you at 1.800.937.3400.

Grievance

To submit a Grievance form. Click Here.

Survey

In our on-going effort to improve our Dental HMO, we need to periodically survey our providers to learn what you are thinking and how we are meeting your needs.

Please take a few moments to fill out our survey.

- Provider Survey.* ( PDF: 235 KB)

Currently we are only accepting surveys by mail. Please mail survey to:

Primecare Dental Plan of California
Attn: Member Survey
10604 Trademark Parkway, Suite 310
Rancho Cucamonga, CA 91730

*Download Acrobat Reader here.

Language Assistance Program

Effective January 1, 2009, in accordance with Section 1367.04 of the California Health and Safety code and the Department of Managed Health Care (DMHC) regulations, California code of Regulations, Title 28, Section 1300.67.04, California health plans are required to establish a Language Assistance Program (LAP) for members who are Limited English Proficient (LEP).

The language assistance program purpose is to establish and maintain an ongoing language assistance program to ensure Limited English Proficient (LEP) enrollees have appropriate access to language assistance while accessing dental care.

Click Here for further information on our Language Assistance program.

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