
You can add dental and vision alongside any medical plan, on Covered California or off-exchange. Dental benefits are fairly similar plan to plan ... so the real question is which network your dentist is in. Here's how the current plans compare.
Covered California offers two family dental plan types. They cover the same kinds of services ... the difference is cost, flexibility, and network.
| Feature | Dental HMO (DHMO) | Dental PPO (DPPO) |
|---|---|---|
| Monthly premium | Lower | Higher |
| See any dentist? | In-network only (except emergencies) | In- and out-of-network |
| Specialist referral | Required | Not required |
| Deductible | None | $50 / adult · $75 / child |
| Annual benefit max | None | $1,500 adults · none for children |
| Waiting period | None | 6 months for adults (waived with proof of prior coverage) |
| Preventive (exams, cleanings, X-rays) | Free in-network | Free in-network |
| Out-of-pocket max (children) | $350 one child / $700 two or more | $350 one child / $700 two or more |
Quote Dental (select “on-exchange”) Off-exchange dental
Notes: dental can only be added if you're enrolled in a medical plan; children under 19 already have dental embedded in their medical plan; you can cancel dental month-to-month; and financial help (subsidies) doesn't apply to dental, so you pay the full premium.
We can get VSP vision for individuals and families, on Covered California or off-exchange. VSP plans come in tiers (Standard, Enhanced, Premier) that mainly differ in frame and contact allowances ... here's the typical structure.
| Benefit | What's covered | Frequency |
|---|---|---|
| WellVision exam | Covered after a small copay | Every 12 months |
| Prescription lenses | Single, bifocal & progressive covered after the materials copay | Every 12 months |
| Frames | Allowance toward any frame (amount depends on the tier you pick) | Every 12–24 months |
| Contacts | Allowance toward contacts, in lieu of glasses | Every 12 months |
| Network | Huge VSP national network; out-of-network reimbursed at a lower rate | — |
Quote & Enroll VSP Vision See current tiers, allowances, and prices.
The easiest way for us to add dental or vision, fix an account issue, or re-check your plan is to have you designate us as your agent ... it takes about a minute, our help is free, and you can remove us anytime.
No account access? We can email you a simple one-page request at help@calhealth.net. Full detail on our designate-an-agent page.
Once you've designated us, we can jump on just about anything inside your Covered California account at no cost. The most common requests we get:
We can really make this process easier and better. There is absolutely no cost to you for our services. Call 800-320-6269 today!