Understanding Your Dental Insurance

Insurance Providers We Accept

Don’t Have Dental Insurance?

Terms and Conditions:

• The discounts associated with the In Office Saving Plan are available only through Clinton Family Dental.
• Monthly membership fees are to be paid for a minimum twelve (12) month period and are non-refundable. Membership will automatically renew on the anniversary date and continue thereafter until canceled, in writing, with a minimum 30-day notice.
• Qualified dependents are defined as a husband, wife, and any non-married children living in the household under the age of 22 years old. Any additional dependents after three (3) each will have an additional surcharge of $22 per month per dependent.
• Fees and plan discounts are subject to change without notice.
• Missed or broken appointments without 48-hour notice will be charged $75. Missed or broken appointments that have 1 1/2 hours or longer of service will be charged $150.
• All member co-payments are due at the time of service.
• Membership in the Dental Plan may be terminated for abuse or failure to pay membership fees or properly billed service.
• The Office Savings Plan is administered solely by the dental office and may be discontinued at the end of any month, with or without notice.
• Dental Plan benefits are limited to $1500 per covered family member per membership year.
• Prophylaxis and fluoride treatments are limited to twice (2) every calendar year. A difficult prophylaxis is subject to Type II periodontal disease treatment charges. Additional prophylaxis is available for $50 per visit.
• By accepting the plan, an associate will perform a comprehensive oral exam, and members agree to follow the prescribed maintenance program.
• All covered are subject to the co-payment percentages as listed in the Schedule of Services and the private fee schedule of Clinton Family Dental.
• Any dental procedure in progress or performed before a member’s eligibility period is excluded.
• Any dental expense incurred if the dentist is unable to perform a procedure due to the member’s general health or physical condition is excluded.
• Replacement of a satisfactory filling is excluded.
• Replacement for lost or stolen dentures, partials, or bridgework, or appliances is excluded.
• Any dental procedure not listed as a covered service, including but not limited to anesthesia, prescription medications, surgery of fractures or dislocations, trauma to the mouth, etc., is excluded.
• Treatment required due to hospital and medical charges or self-inflicted wounds of any kind are excluded.
• Treatment to correct congenital, developmental, or medically induced dental disorders (i.e. TMJ) is excluded.
• A surcharge for any customized porcelain and shading processed by an esthetic quality laboratory and technician may apply.
• Coordination of In-Office Saving Plan benefits with other dental or insurance plans is excluded. Dental Plan benefits for services provided with benefits from another source (i.e., workman’s compensation) are excluded.