To Receive an Email Application or To Receive More Information: Use the Contact Us tab at the top of the page and request an application and info.

You Can Apply Directly Online Right Here

You will notice that the form asks for a Dentist’s Name and Office Number. With an HMO you must submit this with the application. There is no problem changing afterward.

To Find A Dentist Near You, Click This Find a Dentist Link

Once you have entered your credit card or banking information, you will be charged as follows (plus a one-time $45 application fee):

Number of MembersMonthly Rate
Single Adult$49.95
Single Adult + Spouse$62.95
Single Adult + Children$64.95