Dr Schwan's SmileSaver Discount Dental Plan


 
Regular dental care for you and your family is an important part of staying healthy.  Affording this care without insurance can often be difficult.

Dr. Schwan is pleased to offer the "SmileSaver" which is an in-house discount dental plan.  For the cost of $150.00 per year and $25.00 per visit copay, you will receive the following:
  • Your Exams (Initial, Recall, Emergency or Consult).
  • Digital Imaging as needed (X-rays).
  • Routine Cleaning (Prophylaxis)-2 per year.
  • Fluoride treatments as needed-2 per year.
  • 15% Discount with no annual limits on All Dental Treatment that you complete within 12 months from enrolling (not calendar year).

In additon we offer the "VELscope" Oral Health Screening Plan.  For an enrollment fee of $100 you will receive free annual exams with the VELscope for as long as you have check-up visits with Dr Schwan.  You can choose to pay in $20 increments for each exam and will be automatically enrolled after the 5th exam is completed.  The importance and value of this adjunct to our normal soft tissue health exam is well documented.  References include: "The Doctors-VELscope exam" on You Tube and the link to www.2thtruth.com as well as my web site www.drschwan.com.


Terms and Conditions:

  • In order to maintain continuity of your coverage under this plan, it must be renewed once a year with payment of the annual fee before the anniversary date.
  • Enrollment fees are non-refundable once any treatment is performed, including the first exam or cleaning.
  • The SmileSaver and VELscope plans are not dental insurance.  Your membership is only valid at our office.
  • This membership may not be used in combination with any other dental insurance plans or in office discounts.
  • We reserve the right to amend the terms, conditions and fees for this plan on an annual basis

_________________          ________

Patient Name                                                              Date

                                                                                   

________________________________         SmileSaver____  Velscope____

Signature                                                                  Initial Plan Desired


_____________________________                   _______________

Team Member Witness                                               Date