An option that allows you to move between the dental hmo and ppo plans as your needs change
Choice in Plan Type:
The Cypress Hybrid plan allows you to select either a Dental Health Maintenance Organization (DHMO) managed care plan or a
Dental Preferred Provider Organization (PPO) plan.
Flexibility to Change Plans:
With the Cypress Hybrid plan, you may switch from the DHMO to the PPO plan or vice versa throughout the year. You and your
dependents must be enrolled in the same plan type, either DHMO or PPO. If you decide to switch between plans, simply send a
secure email to email@example.com or contact our Customer Service Department at 800-350-3989. If the change
request is made by the 15th of any month, the change will become effective the first of the following month. Note: Plan changes
may only be requested by the employee or the employer on behalf of the employee.
- Choose the DHMO plan and you will generally have less of an out-of-pocket expense and get the greatest level of coverage.
- Choose the PPO plan and enjoy the freedom to choose any dentist. Get the greatest level of PPO coverage by choosing one of
our Preferred Provider Network dentists.
- Switch between plans every month or stay in the plan you initially selected. The choice is yours.
How the Program works:
First, you choose which plan you want to enroll in: DHMO or PPO. See our online directory at www.cypressadmin.com for
participating providers in our DHMO Network or our Preferred Provider Network.
Once enrolled, follow the rules of your plan (DHMO or PPO). During the year, you are free to switch between the two plans.
To request a plan change simply send a secure email to firstname.lastname@example.org or contact our Customer Service
Department at 800-350-3989 by the 15th of the month to make your change effective the first of the following month. Remember,
you and your dependents must be enrolled in the same plan.
Your Covered Dental Services
Your Cypress Hybrid plan design offers you coverage for a broad
range of dental services in both the DHMO and PPO plan options,
- Preventive Services (exams, cleanings and x-rays). The DHMO
plan includes additional cleanings and adult fluoride (up to
- Basic Services (fillings, stainless steel crowns and extractions).
The DHMO plan includes coverage for posterior composites
(white fillings on back teeth).
- Major Services (crowns, bridges and dentures). The DHMO plan
includes coverage for specific cosmetic procedures, nitrous
oxide, certain mouth guards, and more
What is not Covered?
Below is a partial list of the charges and services the Cypress Hybrid
plan does not cover. For a complete list of exclusions and limitations,
see your plan documents.
- Dental services that are primarily cosmetic in nature (except
as specified in the DHMO plan).
- Experimental services, supplies or procedures.
- Treatment of any jaw joint disorder, such as temporomandibular
joint dysfunction (TMJ) (except as specified in the
DHMO plan or if your plan sponsor has included additional
- Replacement of lost, missing or stolen appliances and
- Services that are not dentally necessary for diagnosis, care or
- All other limitations and exclusions included in your plan
Specific Covered Services and Supplies may fall under a different category than what is stated above. Age and frequency limits may apply to some services. Refer to your Schedule of Benefits for details on benefit levels and covered services.