• Membership Eligibility:

  • Membership is available only to patients not enrolled in any dental insurance plan.
  • Patients must be at least 18 years old to enroll individually. (Families may be enrolled under one account.)
  • If you are a current patient enrolling in the Smile Advantage Plan, your account MUST have a ZERO balance.

• Plan Enrollment:

  • The full membership fee is due on the date of enrollment and eligibility will begin at that time remaining active for one year. If your dental practice allows monthly payment options, an enrollment fee and surcharge may be applied.

  • The plan is not retro-active and will become effective on the date of enrollment.

  • It is the member’s responsibility to utilize the services included in this agreement within their plan year limit. Any unused benefits will not be carried over or refunded. The plan is non-transferable.

  • If you are nearing the end of your membership year and have not used your benefits for the year, it is not the responsibility of the office to make appointments available to meet your membership deadline. It is the patient’s responsibility to ensure appointments are made in a timely manner with enough notice to ensure that you receive your full allotment of benefits.

  • If the membership plan is not utilized within the year, it cannot be carried over to the next year. This means that any unused benefits, such as free cleanings or discounts, will expire at the end of the membership term. Please note that it is important to schedule your appointments in a timely manner to ensure that you receive the full benefits of your membership plan. 

  • In exchange for the care provided under this plan, the covered member agrees to pay all balances in full at the time of treatment. If treatment is not paid in FULL at the time of service, the treatment discount is void.

  • Fees quoted are only good for 90 days. Fees and benefits are subject to change.

  • You are obligated to adhere to the the Dentist’s payment policies:

  • You may not combine a Dental Membership Plan with any other discounts, discount plans, dental insurance (including Medicare, Medicaid, other forms of government insurance or assistance, and/or any private insurance plan or policy), or in-office promotion

  • It is possible that, during the course of treatment by a Dentist, he or she may discover a dental or health condition, such as periodontal disease, that may require further treatment – the costs associated with any further treatment are your responsibility

  • Any late fees or missed-appointment fees that the Dentist may charge will still apply and will be your responsibility. These fees are not discounted. You should contact the Dentist regarding any such fees or penalties.

• Payment Policy, Continued:

  • We do not suspend or “freeze” memberships.

  • Memberships are non-refundable.

  • It is your responsibility to notify the Dentist if your payment method has changed. If you do not provide a valid payment method, or if your designated payment method is determined to be inactive for any reason, the Dentist may immediately discontinue your enrollment in the Dental Membership Plan.

  • You agree not to cause your credit or debit card company to reverse or “chargeback” any fees charged in accordance with this Agreement. In the event you do so, the Dentist may terminate your enrollment in the Dental Membership Plan and you agree to reimburse the Dentist for any costs incurred in responding to such chargeback, including the Dentist’s actual costs paid to the credit or debit card company and the value of the time the Dentist’s employees spend on the matter as determined in the Dentist’s discretion in good faith.

• Plan Exclusions & Limitations:

  • Plan is not applicable to lab fees (often not discounted) or referrals outside the practice.

  • Discount offered for Invisalign treatment can not combined with other discounts or promotions.

• Missed Payments, Cancellations, and Renewals:

  • Missed payments may result in termination of membership.

  • The member has the right to opt out of the plan for a full refund within 30 days of enrollment as long as treatment has not started. If ANY treatment has been performed or if 30 days from enrollment have lapsed, NO refund will be given. The member will be responsible for paying the remaining balance regardless of services rendered.

  • Services are based upon a plan year. Membership typically auto-renews annually unless the patient cancels in writing within 30 days of renewal.

• Termination:

  • The practice may terminate the plan if the patient is abusive or noncompliant or for nonpayment.

The member agrees and understands that they are entering into a binding contract by accepting the Terms and Conditions. This membership is an exclusive relationship between the Dental office and the member. Smile Advantage LLC is in no way financially responsible for any member’s treatment cost, refunds, charge backs or additional fees. By enrolling in the Smile Membership plan at this dental office, I acknowledge that I have reviewed, understand, and agree to the terms and conditions of the Smile Membership as presented by dental office upon enrollment. I authorize this dental office to process my payment as listed in this Agreement.

*THE DENTAL MEMBERSHIP PLAN IS NOT AN INSURANCE PLAN AND IS NOT INTENDED TO REPLACE DENTAL INSURANCE. THE DENTAL MEMBERSHIP PLAN IS NOT A QUALIFIED HEALTH PLAN UNDER THE AFFORDABLE CARE ACT OR A MEDICARE PRESCRIPTION DRUG PLAN. THE MEMBERSHIP FEE IS NOT AN INSURANCE PREMIUM. NEITHER THE DENTAL MEMBERSHIP PLAN NOR THE DENTIST OFFERING THE DENTAL MEMBERSHIP PLAN ARE LICENSED INSURERS, HEALTH MAINTENANCE ORGANIZATIONS, OR OTHER UNDERWRITERS OF HEALTH CARE SERVICES.