Health First Medicare Plans Dental Directory
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1 Consultorios dentales de la red DeltaCare USA Health First Medicare Plans Dental Directory for Classic (HMO-POS) and Employer Group Plans About our Dental Network The Classic (HMO-POS) and Employer Group plans are offered with DeltaCare USA coverage, underwritten by Delta Dental Insurance Company (Delta Dental), which provides services to enrolled members. This directory is for all of the cities in Brevard County and the City of Sebastian (zip codes 32957, and 32978) in Indian River County. This directory is current as of November 9, Some contracted network dentists may have been added or removed from the list after this directory was printed. As a member in this program, you have been sent a Certificate of Coverage (COC) and this directory of participating dentists. Please review the directory and look for the name of a network dentist in your area. You can select any dentist listed in this directory. If you need help finding a dentist in your area, please contact Delta Dental s Customer Service Department toll-free at the number listed in this directory. Changes to the Dental Provider Directory Delta Dental may make updates to the Provider Directory throughout the year. Delta Dental will be available to answer any questions you may have. Please call Delta Dental toll-free at the number listed in this directory. H1099_MP2650 CMS APPROVED
2 How do you choose a Dentist? You can choose any network dentist from this directory for your dental care. Once you select a network dentist, you must go to that dentist to receive services covered under the DeltaCare USA program. If you go to a dentist who is not your assigned network dentist you must pay all of the cost of treatment. How do I schedule an appointment with a dentist? After you have selected a network dentist, call the dentist s office to schedule an appointment. Tell the dentist that you have DeltaCare USA coverage and ask the dentist to confirm that he or she is a participating provider in the program and that you are eligible in their office. During your first appointment, be sure to give your dentist the following information: 1. Your plan is DeltaCare USA 2. Your member identification number* 3. Your date of birth; and, 4. Any other dental coverage you have *Please note that you do not need to, for any reason, provide your Social Security Number to Delta Dental. Your Health First Health Plans member identification number is sufficient. Changing your dentist You may change network dentists by notifying Delta Dental either by phone or by visiting their website (deltadentalins.com). If you contact Delta Dental by the 21 st of the month, the change will become effective the first of the following month. Delta Dental Contact Information Please call Delta Dental s Customer Service Department, toll-free at Monday through Friday from 8 a.m. to 9 p.m. Eastern Time. TDD/TTY users should call the Florida Relay at during the same hours.
3 Consultorios dentales de la red DeltaCare Health First Open Offices / Consultorios abiertos November / Noviembre 2011 Melbourne Eugenio Cava DDS Kelly Klair-Studenberg DMD Kevin Diep DDS Mark Essick DDS Facility #: David F. Spector 7777 N Wickham Rd, Ste Facility #: Shamsia Shafi 7777 N Wickham Rd, Ste Facility #: Paula Sue Roberts 220 N. Babcock Facility #: Sung Nam 145 Palm Bay Rd NE, Ste Deepali Jethwa DDS Hyman Friedman DDS James Demopoulos DDS Maximillian Iurcovich DDS Robert Burks DDS Merritt Island Facility #: Olga Luque-Maiz 229 Crockett Blvd Palm Bay Note: Contact the provider before making your choice if you have scheduling problems. Nota: Contacte al proveedor antes de escogerlo si tiene problemas. DR_DCU_6592_OCT2011_ PLSBBC
4 Open Offices / Consultorios abiertos Participating DeltaCare USA Dental Offices Consultorios dentales de la red DeltaCare Health First November / Noviembre 2011 Palm Bay (continued) Jack Rosenkrantz DDS Kelly Klair-Studenberg DMD Satellite Beach Robert Balch DDS Sebastian Facility #: Roxanne Malone DDS Roxanne Malone DDS 1511 US Highway Titusville Facility #: Cesar M. Pareja 4400 S. Washington Ave Facility #: Long N. Hoang 4400 S. Washington Ave Facility #: James P. Harrison 3245 Garden St Henry Mason DMD Note: Contact the provider before making your choice if you have scheduling problems. Nota: Contacte al proveedor antes de escogerlo si tiene problemas. DR_DCU_6592_OCT2011_ PLSBBC
5 Consultorios dentales de la red DeltaCare USA Visit us at our website/visite nuestro sitio de Internet: deltadentalins.com F/T Full Time Dentist P/T Part Time Dentist N/O New Office Foreign languages spoken in the dental office are listed by code in ( ). Below is a key to the foreign languages codes. F/T Dentista de tiempo completo P/T Dentista de medio tiempo N/O Nueva Oficinas Los idiomas que se hablan en la oficina dental estan detaliados por codigos en ( ). Abajo detallamos los codigos a los diferentes idiomas. AF - Afrikaans EI - East Indian HU - Hungarian RO - Romanian AR - Arabic FR - French IN - Indonesian RU - Russian AM - Armenian GE - German IT - Italian SP - Spanish CA - Cantonese GR - Greek JA - Japanese TA - Tagalog CH - Chinese HE - Hebrew KO - Korean TH - Thai CL - Creole HI - Hindi PE - Persian TR - Turkish CS - Czech HR - Croatian PL - Polish VI - Vietnamese The dentists in this list of Participating DentalCare USA Dental Offices may not be available or accept all DentalCare USA plans. If the selected dental office is not available, non-contracted or closed to further enrollment, Delta Dental reserves the right to assign you to another office as close to your home as possible. You may visit our web site at or phone our Customer Service department at for any questions regarding your plan and for updates to our Participating DentalCare USA Dental Offices list. In the event that Delta Dental cannot assign you to a contract dentist your premium will be refunded. Los dentistas en esta lista de Consultorios Participantes de DeltaCare USA pueden no estar disponibles, o pueden no aceptar todos los planes de DeltaCare USA. Si el consultorio dental elegido no esta disponible, no esta bajo contrato, o no esta aceptando pacientes nuevos, Delta Dental se resera el derecho de asignario a otro consultorio lo mas cerca de su hogar como sea posible. Usted puede visitar nuestro sitio Web en o puede llamar al departamento de Servicio al Cliente al para resolver cualquier duda acerca de su plan y para obtener una lista actualizada de Consultorios Participantes de DeltaCare USA. En el caso de que Delta Dental no pueda asignarle un dentista contratado, se le reembolsara su prima. In Florida, DeltaCare USA is underwritten and administered by Delta Dental Insurance Company. En Florida, DeltaCare USA es asegurado y administrado por Delta Dental Insurance Company. H1099_MP2650 CMS APPROVED
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