AZ 888-422-1995    
UT 800-880-3536    
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DHMO Dental Plan
Individual TDA-A800 / TDA-A1000

   PLAN TDA-A800 / TDA-A1000
Total Dental Administrators Health Plan (TDAHP) is a comprehensive Prepaid Dental Plan, which
 has contracted with established private practicing dentists to provide you convenient, affordable and quality dental care.

Dental coverage includes dental services and treatment for:
       Diagnostic
       Preventive
       Restorative
       Endodontics
       Periodontics
       Prosthodontics
       Oral surgery
       TMJ
       Orthodontics
       

   TDAHP ADVANTAGES

       No deductibles
       No Annual or Lifetime Maximums
       No Waiting Periods
       Pre-Existing Conditions Coverered
       Covers Orthodontics
       No Claim Forms

 

   Downloadable Forms

All forms are in Adobe Acrobat (PDF) and require Adobe Reader to view.  If you you not have it you can download it by clicking on the link below:

  Click here to view TDA-A800 / TDA-A1000 dentists (142k)

  Click here to Download the enrollment form (124k)  

  Click here to Download the Rates and Enrollment Instructions (33k)  

  Click here to Download the A800 Plan Booklet   (625k)  

  Click here to Download the A1000 Plan Booklet   (670k)  

  Click here to Download the provider nomination form (23k)  

  Click here to Download the Questions and Answers (65k)

   HOW TO ENROLL

1. Fill out the enrollment form.

2. Select a provider from the directory (Must have a provider on the form to enroll).

3. Mail to TDAHP:

Total Dental Administrators Health Plan
PO Box 44307 Phoenix, Arizona 85064-4307
Telephone: 1-602-954-5602 1-888-422-1995