1Your plan will activate on Tuesday,
November 22, 2011 if you join today.
2Those eligible for discounts under this plan include spouse and any
other financially dependent family member living in the member's household.
Plan Summary
The Northeast - Southeast Dental Plan is for consumers living in the Northeast or
Southeast United States. Now you can have private, quality dental care for all your
dental needs at a cost that is surprisingly low. Members receive savings from 20-50%
off most dental procedures.
The sample table above is a small selection of common procedures covered by the
Northeast - Southeast Dental Plan. Once you’re a member, you will be provided with
a complete fee schedule with discounted fees for nearly every dental procedure.
All procedures covered under the Northeast - Southeast Dental Plan offer similar
savings to the sample above. If you are looking for a specific dental procedure
that is not on this sample, please contact our Customer Care Center toll-free at
(888) 632-5353 with the ADA Code of the procedure and we can provide the discounted
fee.
In the Northeast region, the fee schedule a provider uses varies by provider. Once
you’re a member, you will have access to the fee schedule that each participating
provider uses.
1 Source: DentalPlans.com (DP.C) 2010 Survey of Sample Average National Dental Fees
(updated March 2011). Fees may vary slightly by region.
2 Discounted fees are listed for visits to a participating provider. Any procedure
not listed on the complete fee schedule (provided in your Member's Area once you
join) will be discounted 20% off the provider's usual and customary fee. Any services
not listed at either the general dentist or specialist are available at a 20% discount
from usual and customary fees charged by participating providers. One should verify
provider participation and fees prior to beginning any treatment.
Orthodontists may charge an additional fee for extremely complex or lengthy cases.
(Longer than 24 months). Partial Cases and non-listed procedures performed by a
participating orthodontist are available to members at a 15% courtesy fee. Please
discuss your individual treatment plan with your participating Orthodontist.
*Oral examination and diagnosis at no charge is in conjunction with cleaning and
x-rays.
*Members are entitled to two cleanings at the Northeast - Southeast fee per enrollment
period. Additional cleanings are offered at a courtesy fee.
Dentists may surcharge a sterilization fee of $5.00 per visit.
Lab fees may be additional.
Northeast-Southeast Dental Plan is in no way Affiliated with Northeast Delta Dental
or affiliates thereof.
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