DENTAL

Our program gives you and your family a great new way to get significant discounts on a wide array of services without insurance! It gives you peace of mind while putting important dental care within affordable reach, along with one of the largest discount networks in America.

Savings range from 15-50 percent* on everything from general dentistry and
cleanings to root canals, crowns and orthodontia (braces). There are no claims to file. And there are no limits on how often you and your family can use your Alta Health Plans card.

The Dental Access network has over 65,000** available dental practice locations to choose from nationwide. Each dentist is credentialed and re-credentialed on an ongoing basis. Because we have such a large network of participating dentists, chances are you’ll be able to find a dentist who participates in the program no matter where you work or live in the United States.

*Actual costs and savings vary by provider and geographic area.
Please visit www.dentallookup.com

Dental Sample Savings


† The select regional average fee represents the average fees for the procedures listed above in Los Angeles, Orlando, Chicago, and New York City as calculated as of January, 2005.
†† Discounted fee is the average of the above referenced city’s negotiated fees for the same procedure.

This Program is NOT Insurance

PLEASE NOTE
Program Participant: Several states have enacted legislation relating to being a “Discount Medical plan Organization” (DMPO). These states require certain disclosures to be to be made regarding your rights and programs to be registered. The package you purchased includes DMPO programs.

The terms and conditions of participation in the DMPO are outlined below:

Disclosures:

• The plan is not a health insurance policy
• The plan provides discounts at certain health care providers for medical services.
• The plan does not make payments directly to the providers of medical services.
• The plan Participant is obligated to pay for all health care services but will receive a discount from those health care providers who have contracted with the DMPO. The corporate name and location of the licensed DMPO is: Access One Consumer Health, Inc., 84 Villa Rd., Greenville, SC, 29615
• The DMPO will provide the Participant with a list of participating providers at its website www.accessonedmpo.com or the Participant may call (800) 896-1962 to find a provider. Participants will be able to apply program discounts to all providers of each participating network. The Participant is obligated to pay the provider for services rendered. In no instance will the DMPO make payments directly to health care providers on behalf of the Participant.

If the Participant or the provider has a complaint regarding the DMPO, then he or she may go to www.accessonedmpo.com or call (800) 896-1962 or write to Access One Consumer Health, Inc., 84 Villa Rd., Greenville, SC 29625. This complaint will be addressed and the Participant or provider will receive a response within 15 days of receipt of the complaint by the DMPO.

The Participant may terminate participation in the first forty-five (45) days after receipt of ID card and receive full refund on any fees or dues paid, less the one time processing fee in states where permitted. After the first forty-five (45) days, the participant may cancel participation at any time. The Administrator must receive notification at least five (5) business days in advance of the next billing cycle for the Participant not to be charged for that billing cycle. If you have canceled at any time after the 45 day period, and you have pre-paid any membership fees, the prepayment will be refunded on a pro-rata basis for months you have not used.

In addition to the above terms and conditions, please note the following:

NOTE TO UTAH RESIDENTS: This program is not covered by the Utah Life and Health Guaranty Association.

NOTE TO WEST VIRGINIA RESIDENTS: If after receiving our response and you are not satisfied with the resolution, you may write or call the West Virginia Insurance Commissioner.

NOTE TO TEXAS RESIDENTS: The (PLAN) will cease collecting membership fees in a reasonable amount of time, but no later than (30) days after receiving a valid cancellation notice. Regulated by the Texas Department of Licensing and Regulation, P.O. Box 12157, Austin, Texas 78711: telephone (800) 803-9202 or (512) 463-5699; website: www.license.state.tx.s/complaints.

This program and the program administrators have no liability for providing or guaranteeing service or any liability for the quality of service rendered.

DMPO programs are currently not available for sale to residents of Connecticut, Montana, Alaska, New Hampshire and Vermont.

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