Membership Plan – Fort Mill, SC

Membership Plan

$425
Per Year

Benefits Include:

Initial comprehensive examination and semiannual examination

Most necessary x-rays*

General cleaning and polishing**

10% off standard office fees for all procedures*** and greater discounts on most common treatment procedures (some exclusions apply)

FREE problem-focused examination during dental emergencies when treatment is completed the same day****

$359 For Additional Members

* Based on dental necessity. Additional fees may be assessed for Cone Beam CT scan.

** Periodontal cleaning and maintenance carry additional fees.

*** Invisalign is NOT covered under the plan discount.

**** One problem-focused exam per benefit period is included in the plan, whether or not treatment is completed on the same day.

Cannot be used in conjunction with dental insurance or Carecredit® Financing

Members receive higher savings on common dental procedures!

Services

Discount:

Examinations, X-Rays, Fluoride Treatment & General Cleaning (2 per benefit period)
Regular Fee: $560 per benefit period

Free!

Problem-Focused (Limited) Exam (1 per benefit period)
Regular Fee: $85 per benefit period

Free!

Fillings and Core Buildups

10%

Oral Surgery

10%

Root Canals

10%

Crowns

10%

Veneers

10%

Periodontics

10%

Dentures/Partials

10%

This is a membership plan not a dental insurance plan and is only valid at Southlake Family Dentistry.

Cannot be used in conjunction with other insurance plans.

Cannot be used in conjunction with other savings or financing plans such as CareCredit®, More Mastercard or 5%-8% decrease in discount to offset merchant fees.

Cannot be used for services covered by other insurance plans including medical, automobile, worker's compensation or other insurance plans not listed.

Patient portion of any treatment is due at time date of service unless prior arrangements have been made.

Membership plans are non-transferrable. Each plan only covers 1 person.

The effective date is the day the annual fee is paid. The renewal date is 365 days from the effective date. Benefits WILL NOT carry over after 365 days of the purchase.

All services, including regular preventive care, must be performed before the endo of the coverage date.

It is the patient's responsibility to make and keep appointments for his/her family members.

Rates are subject to change without notice.

Membership plan fees are non-refundable.

Terms & Conditions subject to change without notice.