Cypress Dental PPO (UCR)

Kaiser Grandfathered Plan Summaries

ASSOCIATION Dental 

VSP Vision Care 12/12/24

Delta Dental HMO

Delta Dental PPO

Cypress Dental PPO (MAC)

KP Platinum 90 0/10 + Child Dental Alt

• SBC KP Platinum 90 0/10 + Child Dental Alt

KP Platinum 90 0/20 + Child Dental

• SBC KP Platinum 90 0/20 + Child Dental

KP Gold 80 250/35 + Child Dental

• SBC KP Gold 80 250/35 + Child Dental

KP Gold 80 1000/40 + Child Dental Alt

• SBC Gold 80 1000/40 + Child Dental Alt​

KP Silver 70 1650/55 + Child Dental Alt

• SBC KP Silver 70 1650/55 + Child Dental Alt​

KP Silver 70 HDHP 2500/20% + Child Dental

• SBC KP Silver 70 HDHP 2500/20% + Child Dental

KP Silver 70 2250/55 + Child Dental

• SBC KP Silver 70 2250/55 + Child Dental​

KP Bronze 60 6300/65 + Child Dental

• SBC KP Bronze 60 6300/65 + Child Dental

​KP Bronze 60 7000/0 + Child Dental

• SBC KP Bronze 60 7000/0 + Child Dental

KP Chiropractic and Acupuncture
KP Pediatric Dental
KP Pediatric Vision

WHA Gateway 30 Platinum 90

• SBC WHA Gateway 30 Platinum 90

WHA Gateway 70 Platinum 90

• SBC Gateway 70 Platinum 90

WHA Gateway 2400 Gold 80

• SBC Gateway 2400 Gold 80 -Self
  
• SBC Gateway 2400 Gold 80 - Family

WHA Gateway 4010 Gold 80

• SBC WHA Gateway 4010 Gold 80

WHA Gateway 5020 Silver 70

• SBC Gateway 5020 Silver 70

WHA Gateway 7000 Bronze 60

• SBC Gateway 7000 Bronze 60

WHA Pediatric Dental
WHA Pediatric Vision

Cypress Dental HMO

+1.9164861262

Mon-Fri 7am-1am EST, Sat 7am-11:30pm EST, 
Sun 9am-10pm EST

Kaiser Permanente

Association Vision

Western Health Advantage

Summary of Benefits and Coverage