eyeSMILE Plan Terms and Conditions
This is NOT dental insurance, rather a savings plan. This savings plan cannot be used in conjunction with dental insurance or other discounts. This plain is only valid at this dental office. Care from other providers or specialists is not included. Plan fees are subject to change.
If you are a current patient enrolling in eyeSMILE, your account MUST have a ZERO balance.
The plan is not retro-active and will become effective on the date of enrollment.
It is the member’s responsibility to utilize the services included in this agreement within their plan year limit. Any unused benefits will not be carried over or refunded. The plan is non-transferable.
It is the patient’s responsibility to inform this dental office of changes in billing information due to expired credit/debit cards, etc. Expired cards are not a valid reason for non-payment. If we are unable to process a member’s monthly credit card, eyeSMILE is VOID until payment is made. Any unused benefits during this time are relinquished. Any scheduled future appointments will be canceled and cannot be rescheduled until account is in good standing.
eyeSMILE cannot be combined with any other payment plan options. In exchange for the care provided under this plan, the covered member agrees to pay all balances in full at the time of treatment. If treatment is not paid in FULL at the time of service, the 20% discount is void.
The member has the right to opt out of the plan for a full refund within 30 days of enrollment as long as treatment has not started. If ANY treatment has been performed or if 30 days from enrollment have lapsed, NO refund will be given. The member will be responsible for paying the remaining balance regardless of services rendered.
Services are based upon a plan year. The full membership dues or first payment plus processing fees are due on the date of enrollment and eligibility will begin at that time remaining active for one year. All future payments will be processed on the first of each month thereafter. There are no waiting periods. Your membership can be renewed at the end of each plan year.
If appointments are broken without 24 hours prior notice, a cancellation fee will apply.
This basic plan is designed for patients who do not have infection present in the mouth. If periodontal infection is present, an alternative periodontal plan will be required at a fee of $749.00 as additional visits and treatment are required. This alternative plan includes up to four periodontal maintenance cleanings within the plan year.