Fiance Option-Quality Dental Plan

Benefits include:

• Free simple teeth cleanings (up to two per year)
• Free complete annual dental exam
• Free x-rays for complete annual exam
• Free fluoride applications (up to two per year)
• Free teeth whitening
• A 20% discount on all dental procedures
• A 10% discount on all dental products

A QDP Membership is $325 for an initial plan member...and only $225 for each additional family member. Eligible family members include spouse and dependent children under the age of 19 (up to age 23 if the dependent child is a full-time student). All plan membership fees are payable in full at the time of registration and are non-refundable. Plan duration is for one year from the registration date. All QDP Membership fees are due and payable at the time of registration. Interest-free payment plans of 6 and 12 months duration are available on request with approved credit. Repayment duration is based on service totals. When a payment plan is used, your QDP Member Discount will be reduced to 10%. A missed appointment fee of 25% of treatment total will be charged for all missed dental appointments. Please notify our office 48 hours in advance, if you must change a scheduled appointment.

DENTAL EXCLUSIONS and LIMITATIONS

Excluded from QDP Coverage:

• Demonstrated non-compliance with recommended course of treatment.
• Services which in the opinion of the attending dentist that are neither necessary nor recommended for the patient's dental health.
• Restoration, splints or other appliances used to increase the vertical dimension or restore occlusion.
• Oral surgery requiring the setting of fractures or dislocations.
• Treatment of malignancies, cysts or neoplasms or congenital malformations (except congenital anomaly) of a tooth or teeth covered from birth.
• Dispensing of drugs not normally supplied in a dental office.
• Hospital benefits for any dental procedure.
• Loss of theft of dentures or bridgework.
• Orthodontic treatment.
• Lost or broken appliances.
• Any procedures implantation or experimental procedures.
• Services for injuries or conditions, which are covered under Worker's Compensation or Employer's Liability Insurance.
• Services which are provided without cost to the member by any municipality, county, state or government entity.
• General anesthesia.
• Any services that cannot be performed because of the general health, physical or psychological limitations of patient.
• Periodontics, endodontics, oral surgery or pedodontics requiring the services of a non-participating dentist.
• Any procedure requiring appliances or restorations that are necessary for full mouth rehabilitation, or to alter, restore or maintain occlusion, including with limitation, treatment of disturbances of the temporomandibular joint.
• Diagnosis and treatment of myofascial pain dysfunction syndrome.
• Any procedures performed in a hospital.

QDP Participants cannot use any other dental coverage in conjunction with this plan. Annual benefits expire at the end of the patient's benefit year.

Call our office for more information.