First Commonewealth HMO Dental Plan

The First Commonwealth HMO is a dental maintenance organization (DMO) that provides dental care from a network of dentists and generally emphasizes preventive services.

Plan Benefits

The plan covers eligible services at 100% minus a specified copayment. A complete listing of eligible services and copayments amounts is available in the Schedule of Member Payment Responsibilities PDF Document.

Monthly Premiums

You

You + spouse

You + child(ren)

You+Sps+Child(ren)

Full Time

$7

$13

$14

$20

Part Time

$10

$19

$20

$28

Find a Dentist

First Commonwealth only covers dental care services which are authorized in advance by an individual's primary care dentist. Enrollment in First Commonwealth requires the designation of a primary care dentist.

  • The dentist provider network is accessible online or you can call customer service at 866-494-4542.
  • To change your primary care dentist after initial enrollment, contact First Commonwealth directly.

File a Claim

This plan does not require the completion of claim forms. If you receive a bill, you should contact First Commonwealth directly.