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the PDF icon next to it's name. If you do not have
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Administrative Forms |
| Group Administrative Agreement |  |
Employer Groups can use this form to enroll in one of our dental plans. |
| New Business Checklist |  |
Checklist used by new employer groups to ensure all required documents are included. |
| First Month Fee Calculation Sheet |  |
Worksheet that can be used by employer groups to calculate the total program fee due for the selected plan. |
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Chiropractic Discount Program |
| Comprehensive Health Group |  |
Comprehensive Health Group members receive special reduced rates and immediate care when visiting a participating chiropractic doctor. |
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Dental Care Advantage |
| Dental Care Advantage National Program |  |
The DCA program provides members with savings of 20-55%* on dental services when seen by a participating dentist. |
| Dental Care Advantage Senior National Program |  |
The Dental Care Advantage Senior Program is available on a national basis and provides members with significant savings on services when seen by a participating provider. This program is available to members 55 and older. |
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Enrollment Forms |
| Group Employee Enrollment Form |  |
Use this form to enroll in any of our dental plans. |
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Hearing Care Program |
| EPIC Hearing Healthcare |  |
EPIC Hearing Healthcare members receive special reduced rates and immediate care when visiting a participating provider.
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National Dental Networks |
| National - Discount Network Overview |  |
Overview includes information on who we are and the national networks we offer, including dental discount, chiropractic, hearing, prescription drug, and vision. |
| National - Full Network Overview (Discount & PPO) |  |
Overview includes information on who we are and the national networks we offer, including dental discount, dental PPO, chiropractic, hearing, prescription drug, and vision. |
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OrthoCare |
| OrthoCare Discount Program |  |
The OrthoCare Orthodontic Discount Program is a stand-alone program for orthodontic care. When usin a contracted OrthoCare orthodontist, you could save up to 20% off the services performed. |
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Prescription Drug Discount Program |
| CareMark Prescription Drug Discount Program |  |
This program allows you to easily save money on prescription drugs. This is not an insurance plan. Rather, it is a way for you to get discounts on prescription drugs at most pharmacies. |
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Vision Care Program |
| Eye Benefits Vision Care Program |  |
Members enrolled in American Dental Professional Services dental programs are eligible to receive discounts through our national vision partners.
All Dental Care Advantage members receive this offering at no additional charge.
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