Welcome To Primecare Dental Plan

WELCOME PLAN for Seniors

We offer affordable and competitive rates on our dental plan for Seniors (65+) and dependants. Five year annual premiums for our WELCOME PLAN are listed below.

WELCOME PLAN SENIORS	Single	+ 1 dependent	+ 2 or more dependents
Year One	$85	$135	$160
Year Two	$80	$130	$155
Year Three	$75	$125	$150
Year Four	$70	$120	$145
Year Five	$65	$115	$140

Purchase WELCOME PLAN for Seniors

WELCOME PLAN for Individuals and Families

We offer excellent dental coverage plans for individuals, seniors, families and small groups. Listed below are the offered plans. Five year annual premiums for WELCOME PLAN for individuals and families are listed below.

WELCOME PLAN	Single	+ 1 dependent	+ 2 or more dependents
Year One	$115	$145	$165
Year Two	$110	$140	$160
Year Three	$105	$135	$155
Year Four	$100	$130	$150
Year Five	$95	$125	$145

Purchase WELCOME PLAN for Individuals and families

View WELCOME PLAN details and benefits. ( PDF: 380KB)

View WELCOME PLAN application form. ( PDF: 143KB) mail-in applications only

For our complete list of dental plans please contact our membership policy managers at 1-800-937-3400 or e-mail info@jaiminihealth.com.

Substantial Savings

Below is a sample of savings you could experience with Primecare's WELCOME PLAN :

Treatment	Usual Fee*	Your Cost	Your Savings
Oral Exam	$65	No Charge	$65
Full Mouth X-rays	$108	$25	$83
Cleaning	$75	$35	$40
Porcelain Crown	$700	$375	$325
Total	$948	$435	$513 (54%)

*Usual fees based upon a recent independent statewide dental fee survey

WELCOME PLAN for Small Groups

One of the problems with running a small business is how to provide benefits for our family of employees without breaking the bank? Primecare understands, just as you do, that dental benefits increases employee loyalty and lessens turnover. But health benefits are expensive and take away from that all important bottom line.

Since many employees have coverage through their spouse's employer, duplication of benefits and premiums makes no sense.

Primecare �WELCOME PLAN� offers you, the employer, several ways to allow your employees to participate in our dental program. These options range from no cost to you to no cost to the employee.

Insurance plans require that at least 75% of your employees participate or they will not write the policy. Others require that you pay either all or a significant portion of the employee premium to retain coverage. Primecare's �WELCOME PLAN� allows you the choice to eliminate each of these costly obstacles to offering your employees coverage.

For group plans rangeing from (2-250 members) please see our Groups section.

Grievance

To submit a Grievance form. Click Here.

FAQ's

- What is Primecare?
- What charges will I pay other than the premium?
- May my family be covered?
- Where do I receive my dental care?
- What about treatment by a dental specialist?
- Does Primecare have a plan for seniors?
- Does Primecare cover braces?
- What if I have an emergency while I'm away from home?
- How may I enroll?
- When will my coverage start?
- If I have any questions, who should I call?

What is Primecare?

Primecare contracts with established dentists throughout California to deliver quality dental care to plan members at reduced rates. Primecare offers several different dental plans to fill almost everyone's needs. Many services are provided at no additional cost to the member.

In addition to substantial savings, there are many other advantages to a Primecare dental plan. There are no waiting periods for treatment. No reauthorization is necessary. Primecare plans have no annual deductible to be met and you never have to worry about a maximum limit of coverage.

What charges will I pay other than the premium?

For dental treatment, you will pay directly to your assigned Primecare contracting provider the co-payments listed on the Schedule of covered Service Payments for the plan that you choose. For procedures not covered by your plan, or for treatment by a non- Primecare provider, including specialists, you will be charged the usual and customary fees of those dentists.

May my family be covered?

Absolutely. You may extend coverage to your spouse, your unmarried children until age 19, your unmarried children who are full-time students until age 23, and mentally or physically challenged dependents living at home.

Where do I receive my dental care?

Primecare is very particular about about its dental care providers, so not every dental office qualifies. You may choose the office most convenient for you from Primecare's list of participating dental care providers. If you ever want to change offices, just send us a note and tell us to which office you want to switch. We do the rest.

What about treatment by a dental specialist?

Primecare does not cover the fees of a specialist to whom a member may be referred by a Primecare contracting dentist. However, if notified prior to treatment, Primecare will pay $50 directly to the specialist toward the consultation fee to help you determine your course of treatment.

Does Primecare have a plan for seniors?

If you are age 65 or older, both you and your spouse are eligible for Primecare's Senior Savings Premium which entitles you to reduced rates on our non-group plans.

Does Primecare cover braces?

As a Primecare member, an Orthodontic plan is available for an additional premium. Please call the Primecare referral desk at 1-800-937-3400 for information about the plan orthodontist nearest you.

What if I have an emergency while I'm away from home?

If there is no Primecare provider within 50 road miles, you may seek emergency treatment at any dental office. Primecare will reimburse you up to $50 upon presentation of a receipt or statement showing the emergency treatment received by you or your family member.

How may I enroll?

It's easy. Complete the Primecare Enrollment Card enclosed with this information. Select the plan that you desire, decide on the most convenient method of premium payment, and choose the desired Primecare contracting provider office most convenient for you. Mail the forms directly to Primecare together with the appropriate first premium payment.

When will my coverage start?

For applications received prior to the 25th of the mouth, coverage will begin on the first of the following month.

If I have any questions, who should I call?

You can call Primecare toll-free at 1-800-937-3400 if you have a question, concern or a complaint.
This is a summary of the benefits of the Primecare Welcome Plan. The Primecare plan contract must be consulted to determine the exact terms and conditions of coverage. A specimen copy of the plan contract will be furnished upon request.

1-800-937-3400 or
909-483-8310
Fax: 909-483-5351

Primecare Dental Plan
10604 Trademark Parkway Suite 310
Rancho Cucamonga, CA 91730

Survey

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

Please take a few moments to fill out our survey.

- Member Survey.* ( PDF, 233KB)

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

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

*Download Acrobat Reader here.

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