Dental Savings Plan
The Rico Dental Center for Advanced Dentistry Savings Plan is designed to provide affordability and greater access to quality dental care.
Your benefits are available only at Rico Dental located at 9390 Big Horn Blvd # 130 Elk Grove, CA.
With your Dental Savings Plan there are:
- No yearly maximums
- No deductibles
- No Claim forms
- No pre-authorization requirements
- No pre-existing condition limitations
- Immediate eligibility (no waiting periods)
Benefit |
Premiums (Total Annual Cost) |
|
|---|---|---|
| Single | $375 | |
| Dual* | $425 | |
| Family** | $745 | |
*The Dual Plan is for Parent/Child, Husband/Wife, or Domestic Partners ONLY
**The Family Plan includes children who are full-time students until age 26, or children who are not full-time students until age 18. Maximum of 4 family members. For families 5 or more, $150 will be added to the family premium for each additional family member.
Treatment |
Coverage Adjustment |
|
|---|---|---|
| Comprehensive Exam (new patient, initial visit) | 100% | |
| Periodic Exam (2 per year) | 100% | |
| Limited Exam, Problem Focused (1 per year) | 100% | |
| Intraoral-Complete Series (as needed 1 in 3 years) | 100% | |
| Panorex X-rays (as needed) | 100% | |
| X-rays during Periodic Evaluation (as needed) | 100% | |
| Child Prophylaxis (2 per year) | $15 co-pay | |
| Adult Prophylaxis (2 per year) | $20 co-pay | |
| Full Mouth Debridement | 20% | |
| Periodontal Therapy [Deep] Cleanings Per quadrant (as needed) | 20% | |
| Periodontal Maintenance (after therapy) | 20% | |
| Fluoride (2 per year, no age limit) | 100% | |
| Sealants | 50% | |
| Fillings (tooth colored) | 20% | |
| Crowns | 20% | |
| Dentures, Partials, Fixed Bridges | 20% | |
| Oral Surgery – extractions | 20% | |
| Root Canals – Endodontics | 20% | |
| Implants | 15% | |
| Bleaching, Veneers (Cosmetic Services) | 10% | |
Easy Steps to take advantage of your unique plan:
- Stop by our office during regular business hours
- Call the office at Rico Dental Center for Advanced Dentistry Phone Number (916) 684-8200
Program GUIDELINES
- There will be a $50 reinstatement fee if your plan lapses beyond re-enrollment date
- Plan runs year-to-date from initial purchase date
- This Program cannot be used in conjunction with another dental plan, nor discount
- Non-refundable
- No refunds of premiums will be issued for any reason. It is the participant’s responsibility to utilize the plan during the coverage date and no extensions shall be given
Programs Exclusions and Limitations
This program is a discount plan, NOT a dental insurance plan; therefore cannot be used:
- In conjunction with another dental plan or discount of any kind
- For services for injuries covered under workman’s compensation
- For treatment which, in sole opinion of treating dentist or doctor, lies outside the realm of their capability.
- For referrals to specialists
- For hospitalization or hospital charges of any kind
- For costs of dental care which may be covered under an automobile or medical insurance
