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Plans sold in Virginia use policy form number DPOL.06.VA with associated COC form number DCOC.CER.06.VA, policy form number DPOL.12.VA with associated COC form number DCOC.CER.12.VA or policy form number DPOL.18.VA with associated COC form number DCOC.18.VA. 9/16) and DPOL.18.TX and associated COC form numbers DCOC.CER.06, .12.TX, DCERT.IND.12.TX and DCOC.18.TX. Plans sold in Texas use policy form number DPOL.06.TX, DPOL.12.TX, DPOL.12.TX (Rev. Administrative services provided by Dental Benefit Providers, Inc., Dental Benefit Administrative Services (CA only), DBP Services (NY only), United HealthCare Services, Inc. These services are intended for certain individuals who have mild or moderate orthodontic needs.ĭental PPO: UnitedHealthcare dental coverage underwritten by UnitedHealthcare Insurance Company, located in Hartford, Connecticut, UnitedHealthcare Insurance Company of New York, located in Islandia, New York, or their affiliates. Not all individuals are suitable candidates for invisible aligners. SmileDirectClub: SmileDirectClub coverage is available to customers offering a UnitedHealthcare Dental Preferred Provider Organization (PPO) and/or In- Network Only (INO) plan that includes orthodontic coverage. Services may not be available in all states or for all lines of business. DialCare Teledentistry: Dentist virtual visits currently unavailable in Maine or Texas.