Membership

In House Dental Membership Plan Enrollment Form

Infinity Dental Care is pleased to offer an in-House Dental Membership Plan.
You will save on everything from cleanings and fillings procedures & crowns, partials and dentures.

Benefits per year:

1 routine exam
1 emergency exam
2 standard cleanings (in the absence of periodontal disease)
Xrays needed
2 fluoride varnish treatments
5% off dentures/partials
10% off crowns
15% fillings
15% off extra recall appointments on cleanings or perio maintenance

Membership Plan Advantages

No yearly maximums
No deductibles
No preauthorization needed
No pre-existing conditions
No one will be denied coverage
No waiting periods

Yearly Membership Costs:

CHILD 12 and under = $415.00

ADULTS 13 and older = $450.00

Membership Enrollment Form

Program Exclusives and Limitations:

This is NOT a dental insurance. This is an in-house dental membership plan that is ONLY good at Infinity Dental Care. It CANNOT be combined with any other dental insurances or financing programs such as CareCredit.
Membership premium is due at the time of the first exam.
All payments are non-refundable. No refunds of premiums will be issued at any time if participant decides not to utilize plan.
All financial terms of Infinity Dental Care are applicable to the in-house membership plan.
The two cleanings included in this plan are standard cleanings. Should you need periodontal maintenance, you will have 2 of these cleanings covered under the plan. The additional periodontal maintenances will be an out of pocket expense, but discounted under the plan. If you are diagnosed with active periodontal disease, that will require scaling and root planing, this will not be considered as a “standard cleaning,” but will be discounted under the dental plan for treatment.
All discounts are available solely through Infinity Dental Care.
Membership fees and plan discounts are subject to change on an annual basis. Infinity Dental Care reserves the right to cancel or discontinue this plan for any reason at the end of the membership term.
In-house membership services are used or lost, they are not carried over.
The plan is valid for one year from the date this is signed and premium is paid. This plan is only honored at Infinity Dental Care. It cannot be used at any other dental office.

Membership Enrollment Form

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Monday	8:00 AM - 5:00 PM
	2nd Monday of every month is 12pm-7pm
Tuesday	9:00 AM - 3:00 PM
Wednesday	8:00 AM - 5:00 PM
Thursday	8:00 AM - 5:00 PM
Fri, Sat, & Sun	Closed