Dental AssistanceSavings Plan

“Your Dental Solution”

We are now accepting New Patients for our Dental Assistance Savings Plan.

Professionalism and excellent customer service is evident throughout the entire experience — from scheduling the appointment, waiting in the comfortable sitting area, being serviced by the dentist and dental assistant, to payment for services.”

— Sondra F.

Affordable coverage with quality care!

19615 Governors HwyFlossmoor, IL708-798-1234flossmoordental.com

Dr. Cary GoldbergDr. Charles Greenebaum

Dr. Lynn MaloneDr. John Saniat

Dr. Brian WalczakAWARD-WINNING DENTISTRYAngie’s List Super Service AwardPatch Reader’s Choice Best Dentist in Town A+ Better Business Bureau Rating

“People might think I am crazy, but I LIKE to go to my dentist. The staff is very knowledgeable and

always friendly. They treat you like family!”

— Paula S.

Plan SummariesExperience the Difference!The Center for Dental Excellence Dental Assistance Savings Plan (DASP) is designed to provide affordability and greater access to quality dental care.

Dental Discount Plan Benefits• No yearly maximums• No deductibles• No claim forms• No pre-authorization• No pre-existing condition limitations• Immediate eligibility (no waiting periods) • Free consultations• Cosmetic dentistry coverage• Same day emergency appointments

(call us in the morning, we will see you in the afternoon during office hours).

Frequently Asked QuestionsHow long am I enrolled?The Dental Assistance Plan expires one year after activation. Enrollment fees and member discounts are subject to change at each renewal. Your plan’s effective date will be on file with our office.

Is the Dental Assistance Plan the same as Dental Insurance?Our plan is not an insurance plan. Services are not covered in a traditional manner. Services are offered at a reduced fee and full payment is expected when service is rendered. The plan may not be combined with any other plan, discounts, or dental insurance.

Join now to start saving!

PREMIUMPREFERREDBASIC

Restorative Discount

No Waiting Periods

No Pre-Existing Conditions

No Claim Forms

No Yearly Maximums

Same Day Emergency Appointments

FREE Exams

FREE X-Rays

FREE Fluoride

Cleanings / 2 per year

Cleanings / 4 per year

Orthodontic Discount

Periodontal Treatment Discount

Retail Products Discount

Whitening Discount

Single Membership

Dual Membership

Family (3) Membership

Family (4) Membership

Cost per Additional Family Member

DASP vs. Out of Pocket

10%

10%

10%

10%

10%

$327

$654

$864

$1,074

$147

$290

15%

15%

15%

15%

15%

$357

$714

$924

$1,134

$147

$290

15%

15%

15%

15%

15%

$596

$1,192

$1,402

$1,612

$147

$375

PROGRAM DETAILSThe program is a discount plan, not a dental insurance plan. It cannot be used:• Inconjunctionwithanotherdentalplan• Forservicesforinjuriescoveredunderworkman’scompensation• Fortreatment,which,insoleopinionofthetreatingdentist,lies

outside the realm of his or her capability• Forreferralstospecialists• Forhospitalizationorhospitalchargesofanykind• Forcostsofdentalcarewhichiscoveredunderautomobileor

medical insurance• Fordentaltreatmentinprogress• ThisplanisonlyhonoredatTheCenterforDentalExcellence,LLC• Thisdentaldiscountplanisnotaninsuranceplanthatcanbeusedwithanyotherdentaloffice

PROGRAM GUIDELINES• Therewillbea$50reinstatementfeeifyourplanlapses• Cannotbeusedinconjunctionwithanotherdentalplan•NON-REFUNDABLE•Norefundsorpremiumswillbeissuedatanytimeif

participant decides not to utilize dental plan• Nottransferable• Patient’sportionofbillisdueondayofservice• Noadditionalcashdiscountswillapply• Therewillbea$25BrokenAppointmentFeewithout24

hour notice• AsecondBrokenAppointmentwithout24hournotice nullifiesparticipationinplanandallfeesareforfeited

• Anycostsassociatedwithoutsidefinancingarethesoleresponsibility of the patient

Typical Savings for Cleanings, X-rays & Exams Per Individual