|
|
|


|
SmartSmile & Super SmartSmile
Your Personal Dental Plans by
What are some features of the plans?
- Low copayments
- Quality network of local dental offices
- Fully disclosed coverages and exact copayments
- Pre-existing condition coverage
- No deductibles, claim forms, waiting periods or maximums
- Orthodontic coverage
How much does it cost?
| | SmartSmile | Super SmartSmile |
| |
Monthly |
Annually |
Monthly |
Annually |
| Subscriber |
$17.75 | $213.00 |
$23.50 | $282.00 |
| Subscriber + 1 |
$33.75 | $405.00 |
$45.75 | $549.00 |
| Subscriber + 2 |
$43.50 | $522.00 |
$60.75 | $729.00 |
Subscriber + 3 or more dependants |
$53.25 | $639.00 |
$78.25 | $939.00 |
| |  for SmartSmile |  for Super SmartSmile |
How does the plan work?
' prepaid dental plan delivers dental care through a network of privately
owned, neighborhood dental offices. You select a conveniently located participating dentist
who will assess your oral health and outline your treatment plan. Your care then proceeds according to this plan.
Most procedures provided by your dentist will require a copayment as outlined in your Schedule of Covered Services
and Copayments.
Click here for more information and to view a list of partcipating dentists in your area.
What is a copayment?
A copayment is the amount listed in your Schedule of Covered Services and Copayments that you pay directly to
your participating dentist at the time of service. The copayment varies depending upon
what procedure is performed.
How do I receive dental care?
Simply telephone your selected dental office to verify the hours they are open.
Tell them you are a member of ’ plan
and ask for a convenient appointment time. Your dental office receives a membership eligibility list each month,
so it isn't necessary to have your membership card to make an appointment or receive care!
When does my coverage become effective?
If your application and payment are received before the 20th of the current month, your coverage will begin on the
first day of the following month. If you enroll after the 20th day of the current month, your coverage will begin
on the first day of the second month following your enrollment.
How much do I save?
Look at the following examples to see your savings with .
| Procedure |
Regular Fee* |
SmartSmile Copayment |
Super SmartSmile Copayment |
| Sealant - per tooth |
$44.00 |
$5.00 |
$5.00 |
| Periodontal scaling and root planing |
$205.00 |
$85.00 |
$70.00 |
| Full mouth x-rays - including bitewings |
$120.00 |
$25.00 |
$0.00 |
| Anterior composite restoration - two surfaces |
$182.00 |
$76.00 |
$57.00 |
| Teeth cleaning - with topical fluoride |
$107.00 |
$25.00 |
$0.00 |
| Amalgam restoration - two surfaces |
$158.00 |
$52.00 |
$35.00 |
| Surgical removal of an erupted tooth |
$260.00 |
$134.00 |
$135.00 |
| Porcelain crown fused to high noble metal |
$965.00 |
$400.00* |
$400.00* |
* Patients are responsible for the cost of applicable laboratory fees. Regular fees are based on the average of the usual and customary fees for each service, per a June 2009 survey of participating dentists.
 for SmartSmile |  for Super SmartSmile |
How do I enroll?
To enroll in the Super SmartSmile plan, click here to download a Enrollment Kit. To sign up for this plan, you need to fill out this form and mailed it in.
To enroll in the SmartSmile plan, you can either
click here to enroll online,
or click here to download a Enrollment Kit that can be filled out and mailed in.
|
E-mail us for more information and a free quote or CALL TOLL FREE 1-800-875-4490 (in the U.S.)
or 1-253-854-0199 (outside the U.S.) Fax: 1-253-896-9411
Mailing address: Maddock & Associates, 1407 Willow Road E, Suite C, Tacoma, WA 98424
Serving all of Washington at 800-875-4490, Seattle at 206-682-1628, Bellevue at 425-454-6834, Kent at 253-854-0199 and Tacoma at 253-572-3291.
Copyright© 1998-2009, Maddock & Associates | Privacy Statement
Problems viewing this page? Contact the webmaster.
|
|