Tiered Dental

No-Charge Exam and X-rays** Plus savings of 25% to 60% on Dental Care.


A multi-tiered dental fee-for-service program, where you have access to dentists under THREE distinct scenarios.

  • Tier 1: At select participating schedule A, Tier 1, general practitioners across the country, you receive a no-charge** exam and x-rays in conjunction with a paid annual cleaning. Participating providers abide by a fee schedule of fixed payments for most procedures. Fixed schedule procedure rate savings are 25% - 60% on dental care, as compared to the American Dental Association surveys of usual and customary fees.

  • Tier 2: In the event a schedule A, Tier 1, provider is not available in a given area, a secondary schedule participating dentist may be available at some of the lowest rates of any national dental network.

  • Tier 3: In the event a Tier 1 or Tier 2 dentist is not available in your area, please call a Customer Care Consultant for assistance in accessing a Tier 3 provider where available.

Sample Savings at Tier 1 Participating General Practitioner Dentists

Not available in all areas. Call Customer Care for a full listing of Tier 1 pricing.
DESCRIPTION REDUCED FEE (A)
(You pay the dentist)
TYPICAL COST**
(Average Dental Fee)
SAVINGS
(Your Savings)
% of SAVINGS
Exam No Charge*** $76.00 $76.00 100%
Full X-rays No Charge*** $103.00 $103.00 100%
Total Check-up $58.00 $265.00 $207.00 78%
Couple Savings $116.00 $530.00 $414.00 78%
Family Savings $232.00 $1,060.00 $828.00 78%
Filling: Amalgam-Silver $50.00 $114.00 $64.00 56%
Filling: Resin-White $61.00 $144.00 $83.00 58%
Crown-High $534.00 $970.00 $436.00 45%
Crown-Base $473.00 $898.00 $425.00 47%
Root Canal $428.00 $893.00 $465.00 52%
Orthodontics $3,335.00 $5,535.00 $2,200.00 40%
NOTE: Prices on schedule are subject to change without notice. Pricing may be higher if procedures are not being performed by a General Practitioner.
*Source: American Dental Association, Survey Center, 2006 Survey of Dental Fees.
**In conjunction with annual check-up prophylaxis (cleaning) provided by participating selected general practitioners of Tier 1.
*** There is no payment to the dentist from the plan, member pays doctor reduced fee. Note: network providers may not be available in some areas.

Annual Adult Check-Up Only $58.00

Included in check-up:
  • Prophylaxis cleaning, oral exam, oral evaluation, and full set of x-rays.
  • Typical Cost* $307.00

Annual Child Check-Up Only $40.00

Included in check-up:
  • Prophylaxis cleaning, oral exam, oral evaluation, and full set of x-rays.
  • Typical Cost* $284.00
Prices shown are subject to change without notice. Pricing may be higher if procedures are not being performed by a General Practitioner.

How to access this feature:

  1. Call the toll-free Customer Care number on the back of your membership card to locate a participating provider near you or click here to search for participating providers in your area.
  2. Call to make an appointment. If you are visiting a Tier 1 or Tier 2 dentist, be sure to mention that your membership has access to the Dental Directory Services, “DDS” dental network.
  3. Present your membership card each time you visit your dentist’s office.
  4. Pay your dentist your special member rates directly, and enjoy the savings!***

Important Note: When you are making your appointment, be sure to mention that your membership has access to the Dental Directory Services, DDS dental network. Call the toll-free Customer Care number on the back of your membership card to locate providers and to confirm that your selected dental provider accepts the DDS plan. Please remember to print out your fee schedule for reference.


NOTE: Network providers may NOT be available in certain area.
THIS IS NOT HEALTH INSURANCE AND IS NOT INTENDED AS A SUBSTITUTE FOR INSURANCE
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