Keep your smile bright with Dental Insurance

Resources

Request an ID Card

Call 800-927-9197

Dental Claim Form

Download

Access Benefit Information

Visit Member Portal

This will put a smile on your face

Taking good care of your teeth and mouth is an important part of a healthy lifestyle. Practicing proper dental hygiene, like brushing, flossing and avoiding sugary foods and drinks, is only part of the oral health equation. Good dental care is about more than just a pretty smile!

You have a great dental plan – now learn how to make full use of it to help ensure proper dental health for you and your family.

Your Dental Benefits

You have access to several online tools and resources to help you get the most out of your dental insurance coverage.

  • About your benefits

  • Forms

  • Print Explanation of Benefits (EOBs)

  • View claims

  • Find a provider

Nominate a Provider

If the provider of your choice does not participate in the Mutually Preferred® network, submit their information using the form below and we'll extend an offer to them to join our network.

Please note: Completion of this form does not guarantee your provider will be added in the Mutually Preferred® network.

Recommend Your Dentist Form

All fields are required unless indicated as optional

Dentist Information
Please provide a Provider First Name
Please provide a Provider Last Name
Please provide a Provider Address
Please provide a City
Please select a State
Please provide a ZIP Code
Specialty (check all that apply)
Please select an option
Dentist Contact Information
Please provide a Provider Email Address
Format: 555-123-4444 Please provide a Provider Phone Number
Format: 555-123-4444
Please provide a Provider Primary Contact
Please provide a Primary Contact Email Address
Your Information

Please note: the network contracting process for joining the Mutually Preferred® Dental Network can take up to 120 days to complete, and incomplete forms will not be reviewed.

Your dentist recommendation has been submitted!

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