In-house Dental Plan
TIME TO SMILE DENTAL PLAN
Members may take advantage of savings through the TIME TO SMILE Dental Plan
This plan is administered by our office, Brad Moss DDS PLLC. This is NOT an insurance plan; rather a savings plan and is only valid in our office. This savings plan cannot be used in conjunction with other dental insurance or other discounts.
Our plan is designed to provide greater access to quality dental care.
NO yearly maximums
NO claim forms
NO pre-authorization requirements
NO waiting periods (immediate eligibility)
TIME TO SMILE Dental Plan includes Per Year, Per Person:
- Up to 2 Exams
- 2 Routine Cleanings and Necessary X-rays
- Fluoride Once Per Year
- One Emergency Care Visit and Necessary X-rays
- Oral Cancer Screening
- Nitrous Oxide (Relaxing Gas)
Additional Dental Plan Benefits Per year, Per Person:
*(Note that credit card processing reduces the percentages off by 3%)
- Periodontal Treatments 25% Reduced Rate
- Whitening Trays with 2 refills of Gel included for $149
- Cosmetic Procedures 10% Reduced Rate
- Dental Implants 10% Reduced Rate
- General Dentistry Services 18% Reduced Rate
(Some procedures may need to be referred out to a Specialist. Specialists are not covered under this plan.)
_____Individual & Spouse or (1 child-under age 26) $440
_____Family Plan Includes (3 family members) $599
(family members under age 26)
_____Any Additional Family Members Added to Plan $150
(family members under age 26)
Services are based upon a PLAN year. The full membership dues are due on the date of enrollment and eligibility will begin at that time. You will remain active for one year. Your membership can be renewed at the end of each PLAN year. It is the member’s responsibility to utilize the services included in this agreement within your Plan limit. Any unused benefits will not be carried over or refunded. The plan is non-transferable.
If you are a current patient becoming a member in TIME TO SMILE, your account must have a zero balance. The plan is not retro-active and will become effective on the date of enrollment.
The member has the right to opt out of the plan for full refund within 30 days of enrollment as long as treatment has not been started. If ANY treatment has been performed, or if the 30 days from enrollment has lapsed, NO refund will be given.
By signing below, I understand that this is not an insurance plan, and that I cannot combine this with an insurance plan. I also understand that there are no other discounts in addition to this plan including senior citizen discounts or the use of Care Credit or Lending Club with this plan. I have read the terms in this agreement by Dr. Brad Moss DDS PLLC. I understand that this will expire (1) one year from the date I sign this agreement.
We are always happy to welcome new members into our dental family and appreciate any referrals from your family and friends. It is the greatest compliment we can receive!
We look forward to caring for you!