Monthly HMO Dental Insurance Rates - Dental Coverage California

Authorized Agent

Blue Cross of California*
* is an Independent Licensee of the Blue Cross Association

GERRY CACCAMO
A-ADVANTAGE INSURANCE SERVICES
Calif. Lic #OB22296

1200 E. ROUTE 66 #108 GLENDORA, CALIFORNIA 91740
800-246-3330 or 626-857-9230

INDIVIDUAL DENTAL HMO MONTHLY RATES
Dental SelectHMO Plans from Blue Cross of California
	Blue Cross Dental Saver SelectHMO	Blue Cross Dental SelectHMO	Blue Cross Dental Premier SelectHMO	Note: Blue Cross Dental SelectHMO is available in these counties:alameda, Contra Costa, Los Angeles, Marin, Orange, Sacramento, San diego, San Francisco, San Joaquin, San Luis Obispo, Santa Barbara, Santa Clara, Solano, and Sonoma. Blue Cross Dental SelectHMO has limited availability in these counties: El Dorado, Fresno, Kern, Kings, Monterey, Placer, Riverside, San Bernardino, Santa Cruz, San Mateo, Tulare and Ventura. You may pay your premiums for the PPO plan or Dental SelectHMO plnas on a monthly basis only if you select the Monthly Checking Account Deduction billing.
Single	$10.00	$14.00	$17.50
Two-Party (subscriber & spouse or subsriber & child)	$19.50	$28.50	$35.00
Family (Family or subscriber & children)	$29.50	$42.50	$52.50