2021 and 2022 California
Copayment Schedules and EOCs
Find Your Coverage Information
We are glad you are here.
Click on your plan below to view a PDF of your schedule and Evidence of Coverage.
2022
| Family Dental HMO Individual | Copayment Schedule | EOC | ||
| Family Dental HMO CCSB | Copayment Schedule | EOC |
2021
| Family Dental HMO Individual | Copayment Schedule | EOC | ||
| Family Dental HMO CCSB | Copayment Schedule | EOC |
Unsure of your plan name? Log in to your Dental Health Services account for your plan name and more information.