ANNUAL PREMIUMS
Individual Premium: $399
Additional Child Premium: $289
PLAN TERMS
Children under the age of 19 will qualify for the “additional Child Premium”. If the child is a full-time college student, then they are covered until the age of 23.
There is no ID card, group number, or membership number. All your membership information will be kept on file within our office.
Your effective date is the day you sign up, and your renewal date is the same each year. There is no waiting period or missing tooth clause.
No refunds are given if a patient does not use their benefits.
Benefit Summary
- 2 cleanings a year with X-rays and Exams
- Emergency Exams & X-Rays (up to 4)
- 20% Discount on most services, 10% on others
- Cosmetic Dentistry is included
- No Deductibles, Yearly Maxes, or Waiting Periods
MEMBERSHIP BENEFITS
| Diagnostic & X-Rays | |
| Comprehensive Exam | 100% |
| Periodic Exam (2/year) | 100% |
| Limited Exam (4/year) | 100% |
| FMX or PANO (1 in 3 years) | 100% |
| Bitewings (1/year) | 100% |
| Periapical (4/year) | 100% |
| Preventative | |
| Adult Prophy (2/year) | 100% |
| Child Prophy (2/year) | 100% |
| Fluoride (2/year) | 100% |
| Sealants | 25% |
| All Other Systems | |
| Fillings | 20% |
| Crowns/Bridges | 20% |
| Veneers | 0% |
| Root Canals | 20% |
| Periodontal Treatment | 20% |
| Oral Surgery | 20% |
| Night Guard | 20% |
| Whitening | 10% |
| Dentures | 10% |
Our membership plan is an annual reduced fee dental plan that allows individuals and families, just like yours, to receive dental services from our office at prices that better fit today’s economy.
Fill out the application and submit it along with your premium payment for benefits and discounts effective immediately.
Individuals, spouses, dependents, children under 19, & students up to age 23 are eligible.
Benefits begin immediately, and members must remain on the plan for a minimum of 12 months.
