
Smile Saver Plan
Benefit Premiums
- Single Adult – $299
- Child (age 14 and under) – $279
- Additional family member (spouse or child) – $259
Coverage: Services Covered at 100%
- Comprehensive Exam (Initial Visit on New Patient)
- Periodic Exam (Two per year)
- Limited Oral Evaluation (Problem focused visit, One per year)
- Complete X-Rays Series or Panoramic X-Ray (One every three years)
- Bitewing X-Rays (one per year)
- Child Prophylaxis (two per year)
- Adult Prophylaxis (two per year)
- Fluoride (two per year, no age limit)
Coverage: Discounted Services
- Additional Oral Evaluations – 50% discount
- Additional Prophylaxis – 20% discount
- Sealants (no age limit) – 20% discount
- Fillings – 20% discount
- Periodontal treatment (Scaling/root planning and periodontal maintenance) – 20% discount
- Whitening (in office, at home and Kor whitening) – 15% discount
- Crown and Bridge – 15% discount
- Veneers – 15% discount
- Dentures and Partials – 15% discount
- Oral surgery – 15% discount
- Root canals – 15% discount
- Adjunctive Services (night guards, palliative treatments) – 15% discount
- Nitrous Oxide and Oral Conscious sedation – 10% discount
- Implants (implant and implant crown) – 10% discount
- Six month Smiles – 10% discount
- Invisalign – 10% discount
- In office purchases (Prevident, Clinpro, bleaching refills, Rotadent) – 5% discount
Programs Exclusions and Limitations
The program is a discount plan, not a dental insurance plan. It can only be used at Smiles by Design, PC. It may not be used:
- In conjunction with other dental insurance plans
- For services for injuries covered under workman’s compensation or automobile medical insurance
- For treatment that is beyond the scope of dentistry of the doctor
- For referrals to specialists
- Hospitalization or hospital charges of any kind
Program Guidelines
- After the initial sign up, there will be no additional paperwork or forms. All discounts will be applied on each visit.
- All annual premiums must be paid in advance and the annual plan is active for one (1) year from effective date.
- Plan premium and discounted services can be financed through Care Credit, if approved.
- Payment for your portion of the bill is due at time of services.
- This discount plan cannot be used in conjunction with other dental plans.
- Premiums are NON-REFUNDABLE or transferable, even if you decide not to use the discount plan.
BENEFITS
- Affordable
- Discounts on diagnostic, preventive and cosmetic services
- No yearly maximums, no deductibles
- No waiting periods
- No pre-preauthorization requirements or limitations of pre-existing conditions