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.
- 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
- 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.
|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)
|Intraoral-Complete Series or Panorex x-rays (as needed 1 in 3 years)||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%|
|MFD Financing Options|
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.|
- 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
- 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.
- 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.