Kim AungHealth Net

Your Health Net of California, Inc. and Health Net Life Insurance Company

(Health Net)1 dental member website – www.yourdentalplan.com/healthnet –

offers helpful information and easy-to-use tools to help you get the most

from your dental plan.

Register to get startedStart exploring your new dental website – Just visit www.yourdentalplan.com/healthnet and click Register Now. You’ll need your dental ID card and date of birth to register. If you need help, call Customer Care at the number on your ID card.

Once you log in and visit the home page, here’s a look at some of what you can see and do:

➊ Manage My Claims – View your claim history and Explanation of Benefits.

➋ Look up My Benefits – View your benefit summary and see what is covered by your plan.

➌ Find a Dentist – Find a dentist near you who is in the network.2

➍ Print an ID Card – Print a dental ID card for you and your family.3

➎ Dental Cost Calculator – Find out what your plan will pay for a procedure and what you will have to pay. Compare fees of dentists in your area.

Your Dental Website from Health Net –

Now, that’s something to smile about

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More key online featuresAt www.yourdentalplan.com/healthnet, you’ll also be able to:

• View much of the site in Spanish.

• Access our dental education page, with useful topics on dental care, nutrition and preventive health tips, and links to popular dental sites.

Learning about oral healthTaking good care of your teeth and gums is not just important for your oral health – It plays a role in your overall health. Visit the Health and Wellness tab for information that will help keep your smile beautiful and healthy.

We’re here to helpHave questions? Call Customer Care at the number on your dental ID card.

Health Net of California, Inc. and Health Net Life Insurance Company are subsidiaries of Health Net, Inc. Health Net is a registered service mark of Health Net, Inc. All other identified trademarks/service marks remain the property of their respective companies. All rights reserved.

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1 Health Net Dental HMO products are provided by Dental Benefit Providers of California, Inc. (DBP), and Health Net Dental PPO and indemnity products are underwritten by Unimerica Life Insurance Company. Obligations of DBP and Unimerica Life Insurance Company are neither the obligations of nor guaranteed by Health Net, Inc. or its affiliates.

2Not all plans have networks.3Your ID card will only list the subscriber’s name but is valid for all covered members.

In addition to the State of California nondiscrimination requirements (as described in benefit coverage documents), Health Net Life Insurance Company and Health Net of California, Inc. (Health Net) comply with applicable federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. Health Net does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Health Net:• Provides free aids and services to people with disabilities to communicate effectively with us,

such as qualified sign language interpreters and written information in other formats (large print, accessible electronic formats, other formats).

• Provides free language services to people whose primary language is not English, such as qualified interpreters and information written in other languages.

If you need these services, contact Health Net’s Customer Contact Center at:

On Exchange/Covered California 1-888-926-4988 (TTY: 711) Off Exchange 1-800-522-0088 (TTY: 711)

If you believe that Health Net has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance by calling the number above and telling them you need help filing a grievance; Health Net’s Customer Contact Center is available to help you. You can also file a grievance by mail, fax or online at:

Health Net of California, Inc./Health Net Life Insurance Company Appeals & Grievances PO Box 10348 Van Nuys, CA 91410-0348

Fax: 1-877-831-6019 Online: healthnet.com

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW, Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019 (TDD: 1-800-537-7697).

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

Nondiscrimination Notice

Health Net of California, Inc. and Health Net Life Insurance Company are subsidiaries of Health Net, Inc. Health Net is a registered service mark of Health Net, Inc. All rights reserved.

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