2017 HealthCare.gov Copayment Schedules and EOCs

Find Your Coverage Information

Click on your plan below to view a PDF of your schedule and Evidence of Coverage. Right click on the link and select "Save As" to save the file on your computer. 

SmartSmile Copayment Schedule  EOC
Super SmartSmile Copayment Schedule EOC
SmartSmile Plus Copayment Schedule  EOC
SuperChoice Copayment Schedule EOC
SuperChoice Plus Copayment Schedule EOC
SuperChoice Enhanced Copayment Schedule

Unsure of your plan name? Log in to your Dental Health Services account for your plan name and more information.