This program is not insurance or health plan coverage. Participants have access to cosmetic and other dental procedures through participating providers at fixed discounted fees. Participating providers are located in Maryland, Virginia, and Washington, DC, and are subject to change. Participants are responsible for paying the dentist for services provided and Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. does not pay dentists for service. Participants are required to pay for services provided and can receive the list of dental services including fee schedule from participating dentists or by going to kp.org/totalcosmeticdentalservices. Participants can contact the program sponsor, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. by mail at 2101 East Jefferson Street, Rockville, MD, 20852. Fee schedule amounts are due for each service requested or furnished at the time of service. A nominal fee may be retained by Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. if participation is canceled within the first 30 calendar days after the initial effective date. The participant’s financial responsibilities are the fee schedule amounts as shown on the latest fee schedule. Before utilizing your Total Cosmetic Dental Services program for services, please note that some of the services available to you under this program could also be covered as benefits under other dental insurance coverage you may be enrolled in. Please be sure to compare the services and related costs under the available plans before letting your provider know whether you will be using your Total Cosmetic Dental Services program or another plan for your services.
If you are enrolled in a Kaiser Permanente medical plan that includes dental coverage through your employer, you may not need the Total Cosmetic Dental Service discount program. Some of the Kaiser dental plans have discount cosmetic dental services included. Dominion National’s member services is available to assist you with any questions at 888-271-7310.