discount fees vary by state. Select your state to view the appropriate fees:


Exclusions

  • Treatment of fractures or dislocations, congenital malformations, malignancies, cysts or neoplasms, or Temporomandibular Joint Syndrome (TMJ).
  • Prescription drugs and over the counter drugs.

Limitations

  • Prophylaxis (Cleaning) is limited to once every six months.
  • ll mouth x-rays are limited to once every 24 months.
  • Replacement of partial dentures is limited to once every five years.
  • Full upper and/or lower dentures are not to exceed one each in any five-year period.
  • Denture relines are limited to one per arch in any 12 month period.
  • Services performed by a non-participating provider are not covered.

Downloadable Forms and Documents

Downloadable Forms and Documents (Texas Residents Only)


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The CDI Group is required to provide prospective Members a copy of the Individual and Family Combined Membership agreement and Description of Services and Disclosure Form prior to enrollment.