SmileChoice










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SmileChoice Plan 100/200 Plan Information and Benefits

The SmileChoice Plans 100/200 are the individual/family plans available to California residents.

GET THE ADVANTAGE IN DENTAL & VISION CARE!
Because preventive and basic services are provided at little or no cost, you are encouraged to maintain excellent oral health. If you should require other services, significant discounts are given by our quality private practice Dentists.

NO DEDUCTIBLES NO CLAIM FORMS
NO ANNUAL MAXIMUMS NO PRE-EXISTING CONDITION LIMITATIONS

Please review the SmileChoice Plan comparison below and select the plan that meets your needs.

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This is just a sample of the savings you will receive by joining our plan.

SmileChoice Plan Options
Plan Service **Non-Member
Cost
Plan 100 Plan 200
Cost Savings Cost Savings
Dental Exam $62.50 No Charge $62.50 No Charge $62.50
X-rays $105.00 No Charge $105.00 No Charge $105.00
Routine Cleaning $76.00 $20.00 $56.00 No Charge $76.00
Filling - 1 Surface $115.00 $33.00 $82.00 $8.00 $107.00
Root Planing $185.00 $75.00 $110.00 $30.00 $155.00
Root Canal, Molar $859.50 $320.00 $539.50 195.00 $664.50
Porcelain with Metal Crown, Molar $737.50 $380.00 $357.50 $350.00* $387.50
Full Upper or Lower Denture $1,200.00 $440.00 $760.00 $215.00* $985.00
Full Upper & Lower Orthodontics (child) $4,000.00 $1,795.00 $2,205.00 $1,795.00 $2,205.00
Vision Exam $60.00 $39.00 $21.00 $39.00 $21.00
Single Vision Lenses $65.00 25% Discount 25% Discount
Anti-reflective Coat $52.00 25% Discount 25% Discount
Frames 25% Discount 25% Discount

* Subject to six-month waiting period.
** Non-Member cost based on California state average.



SmileChoice