REASONS TO LOVEELITE DENTISTRY

OUR TEAM- YOUR DENTAL FAMILYWHEN YOU ARE HERE YOU ARE FAMILY. OUR TEAM TAKES TIME TO GET TOKNOW YOU AND LOOKS FORWARD TO BUILDING A LIFE-LONG RELATIONSHIP.

OUR COMFORT ZONEIT IS OUR PLEASURE TO ACCOMODATE OUR PATIENTS WITH SAFETY GLASSES,

COZY BLANKETS, MASSAGE CHAIR, AND CABLE TELEVISION. WE ALSO OFFER ALL ISERVICES WITH IN THE COMFORT OF OUR OFFICE.- NO NEED TO GO ANYWHEREELSE. WE ARE HERE TO TREAT ALL OF YOUR DENTAL NEEDS.

SEDATION DENTISTRYA REVOLUTIONARY APPROACH DESIGNED TO SUCCESSFULLY TREAT PATIENTSWITH A HIGH LEVEL OF FEAR OR ANXIETY. YOU WILL EXPERIENCE BEINGWONDERFULLY RELAXED AND TOTALLY COMFORTABLE WITH LITTLE OR NOMEMORY OF YOUR VISIT.

HEALTH AND SAFETYOUR. OFFICE IS EQUIPPED WITH THE LATEST DENTAL TECHNOLOGY AND MEETSOR EXCEEDS GOVERNMENT STANDARDS OF INFECTION CONTROL. WE TAKE

PRIDE IN ENSURING YOU AND YOUR FAMILY COMPLETE SAFETY IN THE MOSTCARING AND GENTLE MANNER.

COSMETIC DENTAL OPTIONSLOOK YOUNGER AND ENJOY LASTING BEAUTY WITH THE PERFECT BLEND OFART AND SCIENCE. THANKS TO THE WONDERS OF MODERN DENTISTRY, WITHPROCEDURES AS BONDING, PORCELAIN VENEERS, AESTHETIC RECONTOURING,TOOTH WHITENING, AND IMPLANTS, YOU CAN HAVE YOUR DREAM SMILE.

100 CHELSEA CORNERS WAYSUITE 113

CHELSEA, AL 35043

GENERAL, IMPLANT, ANDCOSMETIC DENTISTRY

OUR MISSION:"To PROVIDE THE HIGHEST QUALITY OFDENTAL CARE AVAILABLE IN A CARING

AND PROFESSIONAL ATMOSPHERE THATWILL PROVIDE AND PROMOTE

AN OVERALL WELL BEING FOR ALL OURPATIENTS."

ELITE DENTALSAVINGS PLAN

DENTISTRY

CALL TODAY TO SEE IF YOUQUALIFY FOR THIS SAVINGS

PLAN!

205-678-2525

OFFICE: 205-678-2525

FAX: 205-678-6474

smile/

WWW.ELITEDENTISTRYAL.COM WWW.ELITEDENTISTRYAL.COM

Now ACCEPTINGNEW PATIENTS

THE ELITE DENTAL PLANIS DESIGNED TO PROVIDE AFFORDABILITY

AND GREATER ACCESS TO QUALITYDENTAL CARE.

COVERAGE

- No YEARLY MAXIMUMS

- No DEDUCTIBLES

- No CLAIM FORMS

- No PREAUTHORIZATION REQUIREMENTS

- No PREEXISTING CONDITION LIMITATIONS

- IMMEDIATE ELIGIBILITY (NO WAITINGPERIODS)

- FREE CONSULTATIONS

BENEFIT PREMIUM

PLAN:

SINGLEMEMBER

*£ACH ADDITIONALMEMBER

EXAMPLE: FAMILYWITH 4 MEMBERS

TOTAL ANNUAL MONTHLYCOST COST

$250.00

$200.00

$850.00

$25.00

$20.00

$85.00

* THE FAMILY PLAN INCLUDES FAMILY MEMBERS ANDCHILDREN WHO ARE ENROLLED FULL-TIME IN COLLEGE UNTILTHE AGE OF 23, OR CHILDREN WHO ARE NOT ENROLLED FULLTIME IN COLLEGE UNTIL THE AGE OF l8.T]

YOU WILL NOT RECEIVE A MEMBERSHIP CARD.

YOUR PLANS EFFECTIVE DATE WILL BE ON FILE

WITH OUR OFFICE.

TREATMENT

DIAGNOSTIC AND X-RAYS:

COMPREHENSIVE EXAM(NEW PATIENT, INITIAL VISIT)

PERIODIC EXAM(2 PER YEAR (CHILD UNDER AGE OF l8)

EMERGENCY OR LIMITED ORAL EXAM(PROBLEM FOCUSED)

COMPLETE SERIES OR PANOREX(i EVERY5 YEARS)

PERIAPICAL, FIRST FILM

BITEWING (4 PER YEAR)

PREVENTITIVE:

CHILD PROPHYLAXIS(CLEANING(2 PER YEAR)

ADULT PROPHYLAXIS(CLEANING(2 PER YEAR)

PERIODONTAL MAINTNANCE(2 PER YEAR)

ADDITIONAL CLEANINGS PER YEAR

FLUORIDE(2 PER YEAR, NO AGE LIMIT)

SEALANTS

ALL OTHER PROCEDURES:

FILLINGS AND CORE BUILD-UPS

CROWNS **VENEERSPERIODONTICSDENTURES AND PARTIAL? **

ORAL SURGERY

ROOT CANALS

IMPLANTS **

CLEAR CORRECT*

DISCOUNT

100%

100%

50%

15%100%

100%

100%

100%

15%100%

15%15%15%15%15%15%15%15%

$2OO OFE

* FOR CLEAR CORRECT: MEMBER MUST REMAIN A PLANMEMBER FOR THE DURATION OF TREATMENT TO RETAIN

DISCOUNT PLAN BENEFITS."""SENIOR CITIZEN DISCOUNT, ADDITIONAL 5% ON

PROGRAM EXCLUSIONSAND LIMITATIONS

THE PROGRAM IS A DISCOUNT PLAN, NOT A DENTAL

INSURANCE PLAN, AND IS SECONDARY TO ANY

OTHER DENTAL PLAN. IT CANNOT BE USED:

- IN CONJUNCTION WITH ANOTHER DENTAL PLAN

- FOR SERVICES FOR INJURIES COVERED UNDERWORKMAN'S COMPENSATION

- FOR TREATMENT, WHICH, IN SOLE OPINION OF THETREATING DENTIST OR DOCTOR, LIES OUTSIDE THE REALMOF THEIR CAPABILITY

- FOR HOSPITILIZATION OR HOSPITAL CHARGES OF ANYKIND

- FOR COSTS OF DENTAL WHICH IS COVERED UNDER

AUTOMOBILE MEDICAL

THIS PLAN IS ONLY OFFERED AT

I

DENTISTRY

PROGRAM GUIDELINES

- THERE WILL BE A $50 REINSTATEMENT FEE IF YOUR PLANLAPSES

- CANNOT BE USED IN CONJUNCTION WITH ANOTHERDENTAL PLAN

- NON-REFUNDABLE

- No REFUNDS OR PREMIUMS WILL BE ISSUED AT ANY

TIME IF THE PARTICIPANT DECIDES NOT TO UTILIZE

DENTAL PLAN

- PATIENTS PORTION OF BILL is DUE DAY OF SERVICE.

How TO SIGN UP:PLEASE ASK ONE OF OUR FRIENDLY TEAM MEMBERS

FOR AN APPLICATION OR VISIT OUR WEBSITE