Dear Patients, We have good news to share with you!
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- Samuel Goodman
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1 Dear Patients, We have good news to share with you! It gives us great pleasure to introduce the Grand Marais Family Dentistry Benefits Plan. This in-house dental savings plan offers affordable care for patients without dental insurance. We understand that traditional insurance plans are expensive and there are multiple limitations and exclusions. Also, in recent times, we have observed a trend of fewer employers offering dental insurance, and the difficulty of the self-employed and retired patients to find and pay for dental coverage. So, we have designed an affordable plan that offers significant savings on preventative and other dental services, including cosmetic procedures for one low annual fee. Please see the enclosed chart and guidelines for further information. As always, we greatly appreciate the opportunity to care for you! Feel free to ask any of our team members at Grand Marais Family Dentistry or online at for more information. Contact us at to sign up today! Yours truly, Alyssa Hedstrom, D.D.S.
2 Grand Marais Family Dentistry Benefits Plan No insurance? No problem! Our exclusive, affordable dental savings plan allows you significant savings on your dental care without the hassles of traditional insurance! How Does the Grand Marais Family Dentistry Benefits Plan Compare To Traditional Insurance Coverage? Traditional Dental Insurance Costly monthly premiums plus copays Variable levels of coverage for preventive and other dental treatment Coverage can be $350-$600 per year Complicated and confusing claim submission process and delayed reimbursement Waiting periods before benefits are in effect Cumbersome application process Grand Marais Family Dentistry Benefits Plan One low annual fee Preventive dental visits included, PLUS 15% off most other services No yearly maximum limits on savings No claims or paperwork to submit No waiting period. You are able to use your benefits immediately! Enrollment is quick and easy! Traditional Plan- $299/year The following procedures are covered at 100%: 2 Check-Ups Per Year 2 doctor exams per year 2 routine teeth cleanings 2 fluoride treatment per year Any necessary decay detecting x-rays 15% Off All Other Services Usually $438+ Save up to $139 per year! Perio Maintenance Plan- $480/year The following procedures are covered at 100% for our perio maintenance patients: 3 perio maintenance cleanings per year 2 doctor exams 3 fluoride treatment per year Any necessary decay detecting x-rays Usually $685+ Save up to $140 per year!
3 Additionally, all members save 15% on the following procedures: Tooth colored fillings Silver fillings Crowns and bridges Full and partial dental procedures Root canal therapy Extractions Periapical x-rays Nitrous Oxide Sealants Occlusal guards **Savings not valid in conjunction with dental insurance or any other dental plans. The office of Grand Marais Family Dentistry, P.A. reserves the right to modify, change, or discontinue the Grand Marais Family Dentistry Benefits Plan, fees, terms, and services at the company s discretion.**
4 Benefits Plan Application Effective Date: Last Name: First Name: MI: Date of Birth Home Address City State Zip Check One: Traditional Plan $299 Perio Maintenance Plan $480 Payment Method Check Cash Debit/Credit Card # Exp. Date: CVC: Care Credit **Annual fee is required at the time of enrollment and is non-refundable. Grand Marais Family Dentistry, P.A. reserves the right to modify, change, or discontinue the Benefits Plan fees, terms, and services at the company s discretion upon written notice from the office of Grand Marais Family Dentistry, P.A. prior to your anniversary renewal date** By signing below, I acknowledge I have read the Grand Marais Family Dentistry Benefits Plan information provided to me and understand the plan details and limitations. Signature (parent signature required if member is under the age of 18) Date
5 Grand Marais Family Dentistry Benefits Plan Guidelines 1. Benefits plan duration is for one full year, starting on the registration date. 2. Benefits plan members cannot use any other dental coverage or discount with this plan. 3. All benefits plan membership fees are non-refundable. 4. All required fees are due the day of service. No payment plans. 5. The benefits plan will not cover any portion of specialist referral. 6. The benefits plan will not apply to orthodontic care. 7. The benefits plan will not apply to costs of dental care for injuries covered under workman s compensation. 8. The benefits plan will not apply to dental care for which, in the sole opinion of the treating dentist or doctor, is not recommended or lies outside the realm of their capability. This is a dental savings plan, not a dental insurance plan **Savings not valid in conjunction with dental insurance or any other dental plans. The office of Grand Marais Family Dentistry reserves the right to modify, change, or discontinue the Grand Marais Family Dentistry Benefits Plan, fees, terms, and services at the company s discretion.**
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