Individual Select Dental HMO

Individual Select Dental HMO (Dental HMO) offers coverage of routine dental services and major dental procedures at predictable costs. This plan is designed to be cost-effective, easy to use and predictable. There are no claims for you to file and you know what your out-of-pocket costs will be before you go to the dentist.

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Select a Coverage Level and Designate a Payment Option

The Dental Network offers Dental HMO to residents of Maryland, Northern Virginia and Washington, D.C. You must agree to remain in the plan for at least one year.

Coverage for Dependent Children

Dependent children, up to age 26, can be added to a dental plan.

Payment Options

When applying for your dental plan, please choose an annual one-time payment or the quarterly option, which divides the annual payment into four equal payments throughout the year. Please do not send payment with the application.

  • Annual: After CareFirst has received your application, you will be notified with a letter of acceptance and a bill with your total annual premium due. Coverage cannot begin until we have received your premium payment.
  • Quarterly (4 payments): After CareFirst has received your application, you will be notified with a letter of acceptance and an invoice outlining the total annual premium for your coverage, the amount of the 4 payments (equal to the total annual premium payment) and future premium due dates. Once we have received your first premium payment, coverage will begin.

Select a Primary Care Dentist

Find a General Dentist in our network.

NOTE: If you visit a dental provider that does not participate in your plan's network, you will pay the full cost and will not be reimbursed.

Download and complete the appropriate enrollment application.

Send in your application to:

Mail Administrator
P.O. Box 14651
Lexington, KY 40512-9876

NOTE: We will send you your membership card and a detailed information packet. If your application is received by our offices on or before the 20th of the month, your coverage will be effective the 1st of the following month. Your initial premium payment must also be received in order for your coverage to be activated. For example, for your coverage to begin January 1, our offices will need to receive your application on or before December 20th.

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