Dental Savings Plan
Access to Quality Dental Care at
Affordable Prices
About Our $avings Plan
Join Haydn G. Jones II, DDS, PA’s In-House Dental $avings Plan. Our Dental $avings Plan is designed to provide greater access to quality dental care at an affordable price. It’s a discounted fee schedule for most services, only good at Haydn G. Jones II, DDS, PA. You save on everything from cleanings and fillings to cosmetic procedures and crowns!
- NO yearly maximums
- NO deductibles
- NO claim forms
- NO pre-authorization requirements
- NO health questions
- NO pre-existing condition limitations
- NO one will be denied coverage
- O waiting periods (immediate elligibility)
- FREE consultations
What’s Covered?
Coverage:
| Treatment | Member Discount |
| Complete Series of X-rays | FREE (save $132) | Panoramic X-Ray | FREE (save $125) | Bitewing (4) | FREE (save $73) | Periapical X-rays | FREE (save $34) | Adult prophy and exam | Save $35 | Child cleaning and exam | Save $26 | Crowns and bridges | Save $257 or more | Veneers | Save 20% | Periodontics | Save 20% | Dentures and Partials | Save 20% | Teeth Whitening | Save 20% | Fluoride treatments Sealants and many other procedures | 20% off |
Preventative:
| Treatment | Member Discount |
| Child Prophylaxis (2 cleanings per year) | 100% | Adult Prophylaxis (2 cleanings per year) | 100% | Fluoride (2 per year no age limit) | 100% | Additional cleanings per year | 15% | Dental Sealants | 15% |
Program Exclusions and Limitations
| This program is a discount plan not a dental insurance plan. It cannot be used: |
| • In conjunction with another dental plan dental insurance or financing program such as Care Credit. | • For treatment which in the sole opinion of Dr. Jones lies outside the realm of his capability. | • For referrals to specialists | • For hospitalization or hospital charges of any kind. | • For costs of dental care which are covered under automobile medical. | • For services of injuries covered under workers compentation. |
Note: Oral Surgery, implants and endodontics (root canal treatments) are not covered in the discount plan.
PREMIUM OPTIONS
| Plans Available | Total Annual Cost |
| Dental Savings Plan | $100 |
Program Guidelines
Patient’s portion of bill is due the day of service
Cannot be used in conjunction with another dental plan or financing plan
such as Care Credit
No refunds of premiums will be issues at any time if participant decides
not to utilize dental plan
NON-REFUNDABLE
