This is not an insurance plan or product and is only for patients without dental insurance. It cannot be used for injuries covered under
workman’s compensation or for dental care costs covered under automobile or medical insurance.

The benefits offered under this plan are only available at Boschetti Dental. Coverage under this plan is for one year from the date enrolled. Payment for the one-year membership plan must be paid in full at the time of enrollment. There is no reimbursement for early termination by patient, or if preventative services are not completed by patient. Unused benefits cannot be carried over to the next plan year. Membership benefits are not transferable, have no cash value, and may not be redeemed for cash.

Payment

• Treatment plan will be provided in writing for all recommended procedures, with a breakdown of the regular and the discounted fee.
• Fees for dental services are due day of appointment and before services are rendered – If full payment is not received at the time of service, fee discount will be void.
• If patient elects to use any third party discount payment plan like Care Credit, no additional membership discount applies.

Discount

• Courtesy discounts cannot be combined.
• The courtesy discounts can only be used with dental services, not products offered such as electric toothbrushes.

Other

• Membership fee may be adjusted annually.
• Please contact the office to discuss an individualized Family Plan.