Alliance HealthCard - Discount Healthcare Plans
 
Dental Discount Plan

  GOLD CARD PLAN
 PLATINUM CARD PLAN
 

Dental Savings Plan Chart

Your Alliance HealthCard membership entitles you to discounts of 30% to 60% on all Dental plan services with more than 58,000 Dental providers. Below is a sample Dental plan savings chart:

ADA Code Procedure Description Usual Fee* Discounted Fee** Member Savings*** Savings %
0120 Routine 6-mth Check-up $35 $24 $11 31%
0150 In-depth Check-up $60 $36 $24 40%
0274 Bitewings - Four Films $45  $31 $14 31%
1110 Adult Cleaning $65  $54 $11 17%
1120 Child Cleaning $50  $38 $12 24%
1351 Sealant - Per Tooth $40  $30 $10 25%
2330 White Filling $110  $71 $39 35%
2750 Crown - Porcelain $800  $535 $265 33%
3330 Root Canal - Molar $785  $576 $209 27%
4341 Perio Scaling and Root Planing (per quadrant) $188  $117 $71 38%
5110 Upper Denture (complete) $1,250  $701 $549 44%
6210 Tooth Replacement / Bridge Prosthetic $795 $504 $291 37%
7110 Single Tooth Extraction $110 $65 $45 41%
         
* Sources: American Dental Association (ADA) 2001 Regional Survey of Dental Fees.
** Discounted fees are listed for visits to participating general dentists.
*** Actual savings may vary based upon procedure, geographic location, and within zip code.







 

 

 

 


Disclosures: This discount medical, health and drug plan is NOT insurance, a health insurance policy or a Medicare Prescription Drug Plan. The Plan provides discounts for certain medical services, pharmaceutical supplies, prescription drugs or medical equipment and supplies offered by providers who have agreed to participate in the Plan. The range of discounts for medical, pharmacy or ancillary services offered under The Plan will vary depending on the type of provider and products or services received. The Plan does not make and is prohibited from making members’ payments to providers for products or services received under The Plan. The plan member is required and obligated to pay for all discounted prescription drugs, medical and pharmaceutical supplies, services and equipment received under The Plan, but will receive a discount on certain identified medical, pharmaceutical supplies, prescription drugs, medical equipment and supplies from providers in The Plan. The Discount Medical Plan Organization is Alliance HealthCard of Florida, Inc., P.O. Box 610810, Dallas, TX 75261. You may call 800-699-9472 for more information or use our online directory for a list of providers. The Plan will make available before purchase and upon request, a list of program providers and the providers’ city, state and specialty, located in the member’s service area. The Plan does not offer a discount on hospital services in Maryland. The fees for The Plan are specified in the membership agreement. You may cancel The Plan at anytime. The Plan includes a 30 day cancellation provision. Note to MA consumers: The plan is not insurance coverage and does not meet the minimum creditable coverage requirements under M.G.L. c. 111M and 956 CMR 5.00.