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California Dental HMOs with Vision & Joint Privacy Notice
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California Dental HMOs with Vision & Joint Privacy Notice
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Disclaimer

California Dental HMO by Western Dental Services & American Marketing Administrators, Inc. Insurance Administrator since 1980

click here to view or download CA Premium & CA cover

click here to view or download CA Patients Copayments

click here to view active only CA General Dental Offices

Comparison of Benefits

click here to view or download some of our Advantages

With the Dental HMOs is a discount vision referral plan click here to view providers

click here to view partial specialists list of dental offices

Dr. Robert F. Beauchamp, the founder of Western Dental and the son of a dentist, was always committed to providing quality dental care at affordable prices. A pioneer in what was once known as "credit dentistry", Dr. Beauchamp became renowned for offering low cost care and credit terms to people who could not afford the high fees that were typically associated with quality dental care.

Today, Western Dental is one of California´s oldest and most experienced staff model dental health maintenance organizations, commonly known as an HMO. Employing more than 600 licensed dentists, orthodontists, and specialists in more than 170 offices throughout California and Arizona, and affiliated with a network of over 1,700 additional dentists in 1,400 more offices throughout California, Western Dental is proud to offer complete family dentistry and specialty services to over 90,000 patients who visit each month!

Throughout California and in Arizona - wherever you see the familiar red and blue Western Dental sign - you can be sure that our commitment to quality dentistry that everyone can afford is as important today.

click here to view or download the Joint Privacy Notice

For Vision Only, referral plan not the plan with the Fusion PPO benefits,  the premium is annual only at $45.00 for you and your immediate family.
You may enroll online here and pay by an automatic bank draft, by credit card, or mail a check
*

 

 

IF YOU CAN'T FIND YOUR AREA UNDER THE DHMOs Go to the HOME PAGE FOR INSURED FREE CHOICE of dental offices +PPO dentists 1000s of access POINTS with FusionUp state down state all around the state & you may nominate your own dental office at the Home Page

click here for forms you would need: 1199, Bank Drafft, Credit Card, & PostalEASE

click here to view or download Disclaimer OPM

Enrollment Application for Dental & Vision
   Fusion PPO with Free Choice of Providers 
   both Dental & Eye Care available in all 50 States & D.C.
 
                       or
 
Dental HMO with Vision in specific areas
[for enrolled clients you may request changes
 in coverage or  make a payment here]

name as it appears on your pay check:
Social Security Number
Primary Email address-if you do not type in we will not have
Employing Agency or Retired From
Home Address 1:
Home City:
Home State:
Home Zip code & plus 4 number:
Home Phone:
Home Fax
Home Email
Pull down the Dental & Vision Plan You Want?:
Employer Name & Location or Retired from which agency?
Work Title
Work Street
Work City
Work State
Work Zip
Work Area Code
Work Phone
Work Ext if applicable
Work Email
Subscriber/Member/Employee Date of Birth Format 11/02/1970
Spouse Name
Spouse Date of Birth Format 01/01/1947
Child(rens) Names & Date of Birth
Plan Requested>Type in: i.e. DHMO 550V, HO, PPO E1, etc.
DDS Office Code # ? for Dental HMOs Only
Premium Dollar Amount
Select How You Are Paying the Enrollment Fee?
I understand that Fraud by me will effect my coverage CHECK REQUIRED_YESYes
Enrollment Fee $20 can't by Payroll Deduction other status i.e. ICE Member
Select to Expedite(& how) or to wait for Coverage?
Premium Mode :payroll, credit card, Quaterly, [semi & annual only available with HMO type in mode
Credit Card Type (only VISA & MC) or none?
Name on Credit Card
Credit Card Number
Credit Card Expiration Date
Credt Card Security # .last 3 #s on back of card
Credit Card Billing Address if different
If paying by Bank Draft Enrollment Fee or to Expedite then input 9 digit routing number
If paying by Bank Draft input your account # from your financial institution> Bank
How many dental & vision brochures may we mail for the people you work with?
Are you an APWU Member select Yes or No
Additional Family Member(s) DOB & SS# to add. Premium will be that of a single adult additional. They do not come on the same as normally covered children
Additional Information on other Coverage Requested Will Be Provided
Comments or Questions?
  

All new Postal Employees will have an increase in premium of $1.00 per pay period if paying by Payroll Deduction because of substantial increases in the trustees banking fees this does not effect any other premium mode.  For Fusion PPO or any of the Dental HMOs

American Marketing Administrators, Inc.
Administrator Since 1980
Billing questions, plan changes, you've moved & other concerns:  info@fedvp.com
 23901 Calabasas Road Suite 2014
Calabasas, CA 91302-3307
Voice 818-223-9750  800-300-PLAN, FAX 818-223-8147
alternate fax when main # is busy 818-992-4438