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Smilezone In House Dental Plan 2016 Details

smilezone in house dental plan reston va 20190

PLAN BENEFITS

 

Diagnostics

  • Comprehensive examination for new patients
  • 2 Routine examinations per year- 100%
  • 1 set of Bitewing x-rays per year – 100%
  • Panorex (every five years) – 100%
  • Periapical x-rays – 100%

Preventive care

  • 2 regular dental cleanings per year – 100%
  • After the first two cleanings, any additional cleanings in a year are 20% off
  • 2 fluoride treatments per year – 100%
  • 20% off dental sealants

Other procedures that receive a 20% discount include:

  • Fillings
  • Core buildup for crown placement
  • Crowns
  • Root canal therapy (that can be done in office)
  • Dentures and partials
  • Scaling & Root Planing (Deep Cleaning)

YEARLY MEMBERSHIP DUES

FIRST      Family Member—————————————————$200.00

SECOND Family Member—————————————————$150.00

EACH ADD’L FAMILY MEMBER——————————————$100.00

ADD’L OPTIONAL PERIO PLAN (PER MEMBER)———————-$100.00

 

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Key Benefits

  • No deductible
  • No preauthorization required
  • Discounted Dental Fees
  • No wondering if insurance will pay benefits
  • No Waiting periods
  • No pre-existing conditions
  • No Annual Maximum

TERMS AND LIMITATIONS OF THE PLAN

  • Family members cannot be substituted in for another family member
  • Your effective date is the day you sign up and your renewal date is the same date every year
  • Cleanings must be performed before the end coverage date
  • Cleaning appointments cancelledless than 48 hours from appointment time, will be forfeited
  • It is good only for Smilezone Family & Cosmetic Dentistry in Reston. Therefore if you are referred to a specialist, they will not offer discount This is a dental discount plan and is NOT dental insurance.It cannot be combined with any other dental insurance
  • Rates are subject to change annually
  • Membership dues are not refundable
  • Membership fees cannot be paid with third party financing e.g., Carecredit, Springstone, etc.
  • Member discount cannot be combined with other promotions or discounts
  • Should there be a dental treatment needed following any type of injury where there is lawsuit, therefore outside medical care, disability or workman’s comp type insurances are involved, this discounted plan cannot be used
  • Payment for services are due at the time of service.
  • There is no ID card, No Group or Member number. All your membership information will be kept in your electronic record.
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