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Savings Plan Guidelines & Exclusions

All Logan Peak Dental Savings Plans are designed to provide great access to quality dental care. Members who choose to take advantage of this program must agree to the following guidelines and exclusions in their entirety upon redemption:

GUIDELINES
PLAN SPECIFICATIONS

Savings Plans offered are specific to the established member(s) listed and associated savings plan benefits are only valid for use amongst these specified member(s).

All Savings Plans are limited to immediate family members residing within the same household with no more than 2 guardians listed on each plan.

All Savings Plans are specific to each family member listed. Additionally, a combination of plans can be selected with the plan-specific member discounts being utilized respectively for each associated member within one immediate family.

Dependent children under the age of 18 years old must be accompanied by their respective guardian and receive direct consent upon initial sign-up in order to activate an individual plan.

All Savings Plans include the following diagnostic and preventative services made available at the specified intervals listed below based upon the providing Doctor’s recommendations:

DIAGNOSTIC SERVICES

2 Routine Exams per Plan Year
• 1 comprehensive exam followed by 1 periodic exam for all new patients
• 2 periodic exams for all existing patients

1 Problem Focused Exam per Plan Year
• Includes one periapical x-ray of problem area

2 Sets of X-Rays per Plan Year (associated with routine exams)
• 1 set of bitewing x-rays per Plan year
• 1 set of 5 periapical x-rays per Plan year
• 1 full set of x-rays or panorex every three years dependent upon dental necessity

PREVENTATIVE SERVICES

2 Cleanings per Plan Year
• Prophylactic or periodontal maintenance dependent upon diagnosis by the providing dental hygienist

2 Fluoride Applications per Plan Year
• In conjunction with cleanings provided

Sealants
• As needed until the age of 15 upon diagnosis

Lifetime Whitening
• Initial custom bleach trays + 1 syringe of bleach
• 1 continual syringe of bleach provided every 6 months at routine visits if all recommended treatment has been scheduled or completed

REDEMPTION

Plan initiates on the day of sign-up and will renew annually; meaning, all associated benefits will auto-renew annually leaving all unused benefits from the previous plan year null and void.  Membership will not include an associated membership card. The effective date of the selected plan and all included plan benefits will be held on file being applied to the applicable plan member(s) and associated account ledger.

Membership is valid indefinitely after redemption unless otherwise terminated and is non-transferable.Associated savings plan benefits can only be redeemed while active.  Unused plan year benefits become void upon membership termination.

SERVICES PROVIDED

Membership must be retained for the duration of any treatment provided to receive the applicable savings plan benefits.

All services provided are solely based upon the providing doctor’s recommendations.All included plan benefits are available to each plan member(s) so long as they are congruent with the recommendations given.

All specified preventative services are an included plan benefit. All additional services for the Classic and Prime Savings Plans are a discounted plan benefit and, as such, a co-pay will be expected at time of service.

SOURCE OF PAYMENT

All Savings Plans made available by Logan Peak Dental are based on a monthly auto-withdrawal payment.  This is required upon initial sign-up to all applicable members.

INSUFFICIENT FUNDS

In the event of insufficient funds at the time of the specified withdrawal date, a late fee of $35 will be directly applied.  The associated plan member will be immediately contacted and given 15 days from the specified withdrawal date to provide the necessary payment.

In the event that a plan member accrues two occurrences of insufficient funds, the associated plan member will be given 30 days to make payment in full of the remaining plan balance to keep plan benefits in effect.

Failure to provide the necessary payment within 30 days will result in immediate termination of the applicable savings plan and immediate forfeit of all plan benefits.  Previous plan payments received will be applied towards the associated account ledger. All fees for services provided from the plan initiation date forward will revert back to full Logan Peak Dental fees.

In the event that an overdue payment exceeds 90 days, the applicable plan member and associated account ledger will be sent to collections.

It should be noted that in the event of plan termination, eligibility for re-sign up will not be permitted until the applicable account ledger is settled in entirety.

CANCELLATION

Membership is non-refundable.
Membership is not subject for re-sale.

In the event that a member wishes to cancel their current Savings Plan, all fees for services provided from the plan initiation date forward will revert back to full Logan Peak Dental fees leaving two possible scenarios:

1 - Additional amount owed illustrated in the account ledger upon fee reversal leaving the associated member(s) immediately responsible for additional amount due

2 - Account credit illustrated in the account ledger upon fee reversal leaving the associated member(s) eligible to utilize account credit towards any and all future recommended treatment as credit produced is not valid for reimbursement of any kind

GUIDELINES

This program is specifically a dental savings plan and is exclusive to Logan Peak Dental. This program is not a dental insurance plan and, as such, is subject to the following limitations.

The Logan Peak Dental Savings Plans cannot be used:

• In conjunction with any other dental insurance plan
• For purchase of recommended in-office dental products
• For services involving injuries covered under workman’s compensation
• For treatment, which in sole opinion of the treating dentist, lies outside the realm of their capability
• For referrals to specialists
• For hospitalizations or hospital charges of any kind
• For costs of dental care which are covered under any other insurances (e.g. automobile, medical, etc.)

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