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Single
Members: $99.95 per year
Two Members: $119.95 per year Family
Plans: $139.95 per year
Crown Dental
Plan founded by Dr. Mark K. Meadows in 1988 provides affordable dental
health care plans to Arizona businesses and residents. Crown member
savings per dental procedure can be anywhere from twenty to sixty
percent off the usual customary rate (UCR) that dentists and
specialists typically charge to those patients without Crown Dental
membership. Crown Dental Plan is the perfect alternative for
businesses, families, or individuals, who want excellent dental health
care coverage without the barriers typically found in traditional
dental health insurance, like expensive monthly premiums, long waiting
periods, limited coverage, or procedural exclusions except as noted
below.
Crown Dental Plan provides our members with comprehensive discounts on
all dentist and specialist procedures. Members receive unlimited,
ongoing access to dental health care treatments, and admission for all
is easy and immediate. No high premiums, no waiting periods, and no
procedural limits nor exclusions except as noted below. Since Crown
Dental Plan is NOT an insurance plan, we are able to offer our
annual membership at nearly one-third of the cost of traditional dental
health insurance annual premiums. Due to the substantial savings gained
through discounted dental services, Crown Dental annual membership fee
is often times recovered in just one office visit. Crown Dental Plan
brochure and the web site do contain specific information about
membership types, membership fees, Crown member and non-member price
and savings comparison table per dental procedure, Arizona regional
provider list, and an enrollment form that takes less than five minutes
to complete. If you would like to become a member, you can complete the
enrollment form from this brochure, select a primary general dentist
convenient to your home or workplace, enter that code on the enrollment
form, include annual membership payment, sign the completed form and
mail to Crown Dental Plan, 1237 S Val Vista Dr. Mesa, AZ 85204. If you
are unable to print this brochure out you may also call to request our
brochure at: (480) 964-7449.
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Super savings on all dental procedures
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No deductibles or co-payments
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No annual maximum
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No waiting periods or pre-existing condition exclusions
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Broad choice of quality dentists and specialists
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Specialist rates reduced by 20%
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Dentist who perform Specialists procedures provide
20% off their UCR
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New Annual Memberships fees are often one-third
of the cost of traditional dental health insurance
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Member pays procedural fee to provider on the same day of
service
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Usual Customary Rate (USUAL CUSTOMARY RATE)
is the average cost patient would expect to pay for
procedure
without belonging to Crown Dental Plan.
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Dental procedures not listed on fee schedule are
discounted 20%
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- Endodontics ( extensive root canals )
- Orthodontics ( braces )
- Oral Surgery ( TMJ, major extractions )
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- Prosthodontics ( bridges and dentures )
- Periodontics ( gum treatment )
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Appointments are accepted after the effective Date of
coverage shown on your membership card
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Dental providers may need to perform a complete
work-up in order to determine an effective oral
treatment plan
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Dentists and Specialists are subject to change
without notice
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If services are required immediately Crown Dental Association
will verify coverage with your dentist on the day
your enrollment
fee is received
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Crown Dental Association reassigns primary dentists to the
nearest home/office location or by member choice
should your
dentist decide not to continue with Crown
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Missed appointment without a 24 hour advanced notice to the
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provider shall result in a $40 missed appointment fee.
Messages
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left on the dental offices voice mail is not considered notice
of
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cancellation.
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All dependents are covered under the age of 19 or full time
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students up to age 26 years old or family members incapable
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of self-sustaining employment by reason of a
developmental
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disability or physical handicap.
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All eligible dependents must reside in the same house
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Dependents may not be added to Crown Dental Plan once your
membership card is issued
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Services for injuries covered by workman's Compensation
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Oral surgery requiring the setting of fractures or dislocations
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Services covered by other medical/dental insurance plans
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Treatment of malignancies, cysts, or congenital defects
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Crown Dental Plan enrollment form is found on the last page
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Select primary dentist and enter provider code in the area
indicated on the enrollment form and include
membership fee
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Membership card arrives within three to five business days after
your membership application is processed
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Crown Dental Plans website crowndentalplan.com contain a
provider list: go to "dentists page" tab on the upper
left section of
the web
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Sign, include payment, and mail to: Crown Dental Plan 1237 S
Val Vista Mesa , AZ 85204
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After membership card is mailed the annual fee is
non-refundable
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On
the following pages you will find the fee schedule for dental
procedures as categorized by America Dental Association (ADA) for 2012
Regional Survey of dental fees. Crown members can identify price and
savings per procedure, as compared to the usual customary rates charged
for those procedures. Fee
Schedule for dental procedures listed in this brochure is subject to
change without notice.
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