No Dental Insurance? No Problem!
Sign up for your TCFD Membership today!
If you are one of the many patients without dental insurance, or are unhappy with your current dental insurance, we have a solution for you. By making affordable low monthly payments you will be eligible for preventive care and save money on treatment. This is one of the ways we provide our patients the dental care you deserve within your budget!
What does the plan include?
1 Comprehensive Exam
1 Annual Exam
1 Emergency Exam (any time during the year, if needed)
2 Cleanings (Non-Periodontal Related)
2 Oral Cancer Screenings
1 Fluoride Tooth Desensitizing Treatment
4 Bitewing X-rays, if needed
1 Full Mouth Series of X-rays or Panoramic X-ray, if needed
50% Off CBCT (3D imaging) Scans, if needed
15% Off Minor Treatment (Including, but not limited to: Additional Cleanings, Fillings, Extractions, Root Canals)
10% Off Major Treatment (Including, but not limited to: Implants, Crowns, Periodontal Treatment, Veneers, Dentures, Partials)
Adult Plan – $30/month
Child Plan- $23/month
All included services amount to over $600 in treatment.
The membership plan saves you more than $300 every year!
Participation in the TCFD membership is not dental insurance. TCFD membership plan is a minimum of a one-year commitment. TCFD membership plan is a payment arrangement provided by Town Creek Family Dentistry for PREVENTATIVE services rendered. This plan is only provided to patients who do not have dental insurance, and will not be considered co-payment of advance payment for services that may be provided in the future. Payment for any additional treatment not included in membership plan is due at the time of treatment. Failure to comply will result in being charged full-service fees. Fees associated with collecting unpaid fees will be paid by the member, including but not limited to court costs and attorney fees. Coverage must be continuous; missed payments and unpaid dues will result in termination and reactivation will require $50 reactivation fee per member. Scheduling and keeping appointments is the sole responsibility of the member. TCFD membership plan is not transferrable nor refundable. If benefits are not used by the patient by the end of their benefit year, they do not rollover. This membership plan is exclusive to our office and will not be honored elsewhere. Membership discounts may not be combined with any other offer or discount. Monthly dues and fees for dental services may change at any time.
Dental Limitations and Exclusions:
- Periodontal treatment (treatment of bone loss/gum disease) and maintenance are not covered 100% by the membership. Periodontal Treatment is discounted at 10%. Periodontal maintenance is discounted at 50%.
- Demonstrated non-compliance with recommended course of treatment.
- Services which in the opinion of the attending dentist are neither necessary nor recommended for the patient’s dental health.
- Services for which injuries or conditions which are covered under workers compensation or employer’s liability laws.
- General anesthesia/conscious sedation
- Dispensing of drugs and medicaments not normally supplied in a dental office.
- Services that cannot be performed because of the general health, physical, or psychological limitations of the patient.
- Plan participants cannot have other dental insurance.
- Dentists and Dental Hygienists will not practice below the standard of care.
Plan Participants cannot have other dental coverage.
I have read and understand the benefits, covered services, limitations, exclusions and requirements of the TCFD membership plan, and agree to the following: I will remain on the plan and pay membership fees for the full duration of my plan, which is a minimum of one year and renews annually. Early cancellation or payment of less than the full membership fees will result in being charged full fees for any and all services rendered while on the membership plan. Any missed payments will result in termination of the membership which will result in full fees for any work done while on the membership, due immediately. Fees for services rendered are due the day of service. Fees for crown and bridge or denture services are due at, or before, the preparation/impression visit. Failure to comply will result in being charged full fees. In the event that my account must be sent to Collections for non-payment, I agree to pay any and all cost associated with collection charges including, but not limited to, attorney fees and court costs.