2012 UCare Comprehensive Dental Enrollment Form
Once you have completed this form, please click the "Submit" button below.
If you have questions when completing this form, please contact us at 1-877-523-1518 (TTY 1-800-688-2534), 8 a.m. to 8 p.m., daily
UCare Comprehensive Dental coverage is
only available to
UCare for Seniors Classic (HMO-POS) and select
UCare for Seniors Group (HMO-POS) members.