Dental Program Summary

Enjoy savings on dental services at over 169,000* dental practice locations nationwide. In most instances, save 15% to 50% per visit**. Use your card over and over again to keep your teeth healthy and sparkling clean!

*As of August 2015. **Actual costs and savings vary by provider.

The card works for your whole family. Family members include card holder, spouse, and legal dependents up to the age of 18 or up to the age of 25 as long as they are full time students.

Examples of Potential Savings

ADA Procedure Description Usual Fee Discounted Fee Member Savings
D0120 Periodic Oral Exam $61 $32 $29
D0150 Comprehensive Oral Exam $96 $45 $51
D0210 X-Ray, Intraoral - Complete Series Including Bitewing $150 $80 $70
D0274 X-Ray, Bitewings - Four Films $71 $38 $33
D0330 X-Ray Panoramic Film $127 $67 $60
D1110 Cleaning (Prophylaxis) - Adult $113 $62 $51
D1120 Cleaning (Prophylaxis) - Child $82 $45 $37
D1351 Sealant Per Tooth $67 $32 $35
D2330 Filling - 1 Surface Resin (White) Filling, Front (Anterior) Tooth $182 $94 $88
D2750 Crown - Porcelain Fused to High Noble Metal (i.e. gold) $1,176 $799 $377
D2752 Restorative Crown - Porcelain Fused to Noble Metal $1,144 $747 $397
D3310 Root Canal Front Tooth (Anterior) Excluding Final Restoration $814 $480 $334
D3320 Root Canal Premolar Tooth (Bicuspid), Excluding Final Restoration $906 $582 $324
D3330 Root Canal Molar, Excluding Final Restoration $1,120 $784 $336
D4341 Scaling/Root Planing Four or More Contiguous Teeth $250 $152 $98
D5110 Complete Upper Denture (Maxillary) $1,310 $937 $373
D7140 Extraction of Erupted Tooth or Exposed Root - Includes Local Anesthesia and Suturing If Needed $198 $90 $108
D8080 Comprehensive Orthodontic Treatment Child $5,605 $3,550 $2,055

NOTE: Actual costs and savings may vary by provider, service and geographic location. We use the average of negotiated fees from participating providers to determine the discounted fee, as shown on the chart.

The select regional Usual Fee represents the average fees for the procedures listed above in Los Angeles, Orlando, Chicago and New York City, as displayed in the cost of care tool as of August 2015.

Prescription Program Summary

The Rx card is a nationwide Prescription Assistance Program (PAP) which will lower your prescription drug costs at retail pharmacies. This program has LOWEST PRICE LOGIC* to guarantee that you get the best deal on your prescriptions. This card will provide you with Rx medication savings of up to 75% at more than 68,000 national and regional pharmacies across the country. This drug card is pre-activated and can be used immediately at the pharamacies listed below!

* LOWEST PRICE LOGIC - This means that you pay the lower of a discount off Average Wholesale Price-AWP, discount based off MAC (maximum allowable cost) Pricing, or Pharmacy Promotional/Retail price).

Discounts are only available at participating pharmacies.
This program/card is a discount program. THIS IS NOT INSURANCE.