Dental Savings Plan

Stumpf Dental Savings Plan

The Stumpf Dental Savings Plan is designed to provide affordability and greater access to quality dental care. If you recently lost your dental coverage, or never had dental benefits, this plan may be right for you. With you Dental Savings Plan there are:

  • No Yearly Maximums
  • No Deductibles
  • No Claim Forms
  • No Pre-authorization Requirements
  • No Pre-existing Condition Requirements
  • Immediate Eligibility (no waiting periods)
  • Free Consultations
BENEFITS PREMIUMS (TOTAL COST)
Adult $325.00
Child* $250.00
Periodontal Savings Plan*** $245.00

*Child is under 12 years of age with mixed dentition.

***Add to the benefit plans’ total annual cost an additional $245.00 per member. Receive all the benefits of the Benefit Plan plus Perio Prophylaxis (100% coverage), 3 per year. Scaling and Root Planing (20% savings) and Fluoride (100% coverage) 3 per year.


PERIODIC SERVICES COVERAGE
Periodic exam (2 per year) 100%
Intraoral x-ray; Complete full mouth series 100%
Intraoral x-ray; Bitewings: one set per year 100%
Child Prophylaxis-Cleaning (2 per year) 100%
Adult Prophylaxis-Cleaning (2 per year) 100%
Fluoride (2 per year; no age limit) 100%
Sealants 50%

RESTORATIVE SERVICES COVERAGE
Fillings (tooth colored composites) 20%
Crowns and Bridges (including core build-ups) 20%
Dentures and Partials 20%
Inlays, Onlays 20%
Implant (restoration) 15%

Program Guidelines
  • Plans begin January 1, 2019 and end December 31, 2019
  • Renewal is open November and December for the following year.
  • New patients are eligible after a comprehensive exam with radiographs and will pay a pro-rated fee for the remainder of the year PLUS the full fee for the following year.
  • You will not receive a membership card.
  • Your plan is valid for one year.
  • Any service not paid in full at time of service will be billed at our normal rate.
  • This plan cannot be used in conjunction with any other dental plan or insurance plan.
  • Appointments can be made two weeks in advance.
  • Broken appointments &/or cancellations with less than 48 hours’ notice are subject to a $35.00 fee.
Exclusions and Limitations

This program is NOT a dental insurance plan. It was designed as a savings plan for our loyal patients who do not have dental insurance benefits.

It cannot be used in conjunction with another dental plan.

It cannot be used for services for injuries covered by workman’s compensation.

It cannot be used for treatment which, in the sole opinion of the treating dentist or doctor, lies outside the realm of their capabilities.

It cannot be used for referrals to specialists.

It cannot be used for hospitalization or hospital charges of any kind.

It cannot be used for costs of dental care which are covered under automobile medical insurance or insurance of any kind.

It cannot be used in combination with any other offers or special discounts.

The Dental Savings Plan is honored only at Stumpf Dental, Ltd.

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262-970-0111

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