MONDAY
12pm-7pm
TUES, WED, THURS
8am-4pm
FRIDAY
8am-3pm
Modern Family Dentists Dental Benefit Plan
The Modern Family Dentists Dental Benefit Plan is designed to provide excellent affordability to high quality dental care for those without dental insurance. Your benefits are available only at Modern Family Dentists.

Great News: Huge benefits

  • No yearly maximums from this plan
  • No claim forms
  • No deductibles
  • No pre-authorization
  • No need for dental insurance
  • No pre-existing condition limitation
  • No waiting period for benefits to start

Modern Family Dentist Benefit Plan Premium:
Over $1000 in benefits per person included.

  • Single: $277
  • Dual: $377
  • Family: $80 additional per person after Dual membership.  Single plus $80 can’t be applied.

*The Family Plans includes children who are enrolled full-time in college until age 26, or children who are considered dependents (usually until age 18).

You will not need or receive a membership card- your planʼs effective date will be on file.
Treatment                                 Coverage Percentage or Co-Pay
Comprehensive Exam (new patient, initial visit, unlimited diagnostics) 100%
Periodic Exam (2 per year) 100%
Limited Oral Exam, Problem Focused (1 per year)
(Plus one free Periapical x-ray and one free Bitewing x-ray)
100%
Intraoral-Complete Series or Panorex x-rays (as needed 1 in 3 years) 100%
Bitewing x-rays 100%
Child Prophylaxis (routine cleaning, 2 per year) 100%
Adult Prophylaxis (routine cleaning, 2 per year) 100%
Additional Adult Prophylaxis 20% off
Full Mouth Debridement 20% off
Periodontal therapy deep cleaning (Includes laser treatment for gums) 20% off
Periodontal Maintenance after therapy Co-Pay
Fluoride (2 per year at hygiene appointments, no age limit) $5 co-pay
Sealants (Benefit % PLUS Buy one molar get one pre-molar free) 20% off
In office Bleaching (Excludes Nice & Bright Tooth Whitening Program) 20%
Fillings (tooth colored, includes laser for preparation) 20% off
Inlay, onlay, veneers, crowns (includes CAD-CAM 1 visit) 20% off
Dentures, partials, and fixed bridges 20% off
Oral Surgery-extractions, bone grafting, implants 20% off
Root Canals-Endodontics 20% off
Nitrous (laughing gas) 100%

Program Exclusions and Limitations:

This program is a savings benefit plan and NOT a dental insurance plan; therefore cannot be used:

  • In conjunction with another dental insurance plan or discount of any kind
  • For services for injuries covered under workmanʼs compensation
  • For treatment which, in sole opinion of the treating dentist or doctor, lies outside the realm of their capability
  • Currently not available for referrals to specialists
  • For hospitalization or hospital charges of any kind
  • For costs of dental care which may be covered under an automobile or medical insurance.
Again: This plan is only offered at Modern Family Dentists, this is not in any way an insurance plan.

Guidelines:

  • There will be a $50 reinstatement fee if your plan lapses beyond re-enrollment date.
  • Plan runs year to date from initial purchase date (rolling calendar)
  • This program cannot be used in conjunction with another dental plan, nor discount
  • NON-REFUNDABLE
  • Patient portion of bill due at time of service
  • No refunds of premiums will be issued for any reason. It is the participants responsibility to utilize the plan during the coverage date and no extensions shall be given.
  • Auto renewal policy 5% off. Sign up for auto renewal of your Modern Family Dentists Benefit Plan and receive 5% off next years premium.

Easy steps to take advantage of the unique plan:

  • Walk in the front door during regular business hours at our Kenosha dentist office
  • Call 262.484.4356 or email APPT@ModernFamilyDentists.com
  • Come to the new patient exam and decide what works best for you. This plan, or insurance through work.
Print the form and application and send it with your payment to:
Modern Family Dentists
6803 Sheridan Road Kenosha, WI 53143


Nice & Bright Tooth Whitening Program ,One time enrollment fee and then free bleaching for the rest of your life.