- NO Yearly Maximums
- NO Deductibles
- NO Waiting Period
- NO Pre-Authorization Required
- NO Claim Forms
- NO Pre Existing Condition Limitations
|Yearly Single Premium||■||$250.00|
|Yearly Dual* Premium||■||$490.00|
|Yearly Family* Premium||■||$800.00|
*The dual plan is for parent/ child or husband/ wife only.
*The family plan includes children who are enrolled full time in college until age 23, or children who are not enrolled full time in college until age 18.
|Comprehensive exams (New Patient, Initial Visit)||■||100%|
|Periodic exam (2 per year)||■||100%|
|Limited exam (1 per year)||■||100%|
|Complete set of x-rays (covered every 3 years)||■||100%|
|Intra oral 1 film||■||100%|
|Bitewing X-rays (2 per year anytime)||■||100%|
|Child cleaning (2 per year anytime)||■||100%|
|Adult cleaning (2 per year anytime)||■||100%|
|Full Mouth Debridement||■||20%|
|Deep Cleaning per Quadrant||■||20%|
|Perio Maintenance after therapy||■||20%|
|Fluoride (2 per year anytime, no age limit)||■||$8.00 co-pay|
|Sealants (no age limit)||■||50%|
|Crowns & Veneers||■||20%|
|Dentures, Partials, & Bridges||■||20%|
This plan is only honored at Total Transformation Dental & Spa. This plan can’t be used in conjunction with another dental plan, or discount plan.
Not to be used for services for injuries covered by workman’s compensation.
Not to be used for treatment outside the scope of the treating dentist, nor is it to be used for referrals to specialists, or for hospitalization and/or charges of any kind.
Not to be used for cost of dental care which may be covered under auto, or medical insurance.
There is a $95.00 reinstatement fee for lapse in coverage beyond your enrollment date.
The plan runs year to date from the initial purchase. This plan is non- refundable. No refunds of premiums will be issued for any reasons. It is the participant’s responsibility to use the plan during the coverage date and no extensions will be given.
Click here to enroll in our savings plan today!