terms and conditions...1641 east avenue, rochester, ny 14610 [email protected] | (585)...

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Coverage starting in 2020 Creating healthy and beautiful smiles www.eastavenuedentistry.com 1641 East Avenue, Rochester, NY 14610 [email protected] | (585) 482-5504 Savings Plans It is important that you understand the terms and conditions of the East Avenue Dentistry Savings Plan so we are not hiding it in “fine print.” Payment for service is expected at the time it is rendered in order to receive your savings unless previous financial arrangements are made. Fees may be paid by cash, check, credit or FSA/HSA cards. East Avenue Dentistry Savings Plan is not dental insurance and does not serve as a substitute for comprehensive dental insurance coverage. Participation will terminate automatically if the patient obtains dental insurance and uses it at East Avenue Dentistry PLLC. Discounts may not be used in conjunction with any other discount plans or insurance programs. This plan does not cover expenses incurred from Workers Compensation claims related to injuries or trauma- related injuries such as auto accidents. East Avenue Dentistry reserves the right to make changes to these terms and conditions at any time. Once membership is purchased, fees are non-refundable. Membership period is valid for one year from date of enrollment. Invisalign © and services provided by several specialists are not covered. Membership is only valid at East Avenue Dentistry. There are no refunds if patients obtain insurance during the year or do not use their East Avenue Dentistry Saving Plan benefits. Further restrictions may apply. TERMS AND CONDITIONS: Affordable dental care for individuals & families without dental insurance

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Page 1: TERMS AND CONDITIONS...1641 East Avenue, Rochester, NY 14610 1641@eastavenuedentistry.com | (585) 482-5504 Savings Plans It is important that you understand the terms and conditions

Coverage starting in 2020

Creating healthy and beautiful smiles

www.eastavenuedentistry.com1641 East Avenue, Rochester, NY 14610

[email protected] | (585) 482-5504

Savings Plans

It is important that you understand the terms and

conditions of the East Avenue Dentistry Savings

Plan so we are not hiding it in “fine print.” Payment

for service is expected at the time it is rendered

in order to receive your savings unless previous

financial arrangements are made. Fees may be paid

by cash, check, credit or FSA/HSA cards. East Avenue

Dentistry Savings Plan is not dental insurance and

does not serve as a substitute for comprehensive

dental insurance coverage. Participation will terminate

automatically if the patient obtains dental insurance

and uses it at East Avenue Dentistry PLLC. Discounts

may not be used in conjunction with any other

discount plans or insurance programs. This plan

does not cover expenses incurred from Workers

Compensation claims related to injuries or trauma-

related injuries such as auto accidents. East Avenue

Dentistry reserves the right to make changes to

these terms and conditions at any time. Once

membership is purchased, fees are non-refundable.

Membership period is valid for one year from date

of enrollment. Invisalign© and services provided by

several specialists are not covered. Membership is

only valid at East Avenue Dentistry. There are no

refunds if patients obtain insurance during the year

or do not use their East Avenue Dentistry Saving

Plan benefits. Further restrictions may apply.

TERMS AND CONDITIONS:

Affordable dental care for individuals

& families withoutdental insurance

Page 2: TERMS AND CONDITIONS...1641 East Avenue, Rochester, NY 14610 1641@eastavenuedentistry.com | (585) 482-5504 Savings Plans It is important that you understand the terms and conditions

East AvenueDental Savings Plan

Annual Membership Includes: Annual Membership Fees:

The East Avenue Dentistry Savings Plan

helps patients and families without dental

benefits get access to quality, trusted dental care.

The East Avenue Dentistry Savings Plan

is designed to help our patients and their

families save money on periodic and preventive,

rehabilitative and aesthetic services.

With your membership, you can save more than $100

on cleanings, exams and x-rays. Plus, 20% off most other

dental services offered at East Avenue Dentistry PLLC.

•Two cleanings, periodic exams and fluoride treatments for each person per membership year

•One set of full x-rays or Panorex and one set of bite-wing x-rays for each person per membership year

•20% discount for most other dental care for each person per membership year

•Unlimited periapical radiographs and unlimited intraoral photos as needed for diagnosis

10% discount in specialty care of endodontics

INDIVIDUAL PLAN $289.00

AGE 21 & YOUNGER PLAN $259.00

TWO PEOPLE IN ONE HOUSE $465.00

FAMILY PLAN $567.00 Up to five family members maximum. Can include self,

other and children under 21 years of age residing in

the same household.

10% Service fee will be added if patient wants to pay

monthly though Carecredit®

Call and schedule a tour today! See our front desk to sign up or for more information