Sure Smile Dental Plan

Affordable Dental Care For Patients Without Insurance

Sure Smile Dental Plan* is a Dental Savings Plan that provides exclusive, member-only dental discounts to patients without dental insurance, making dental care more affordable. Sure Smile Dental Plan can help you and your family save on various dental costs, including:

• Preventative dental care
• Basic dental care
• Major dental care
• Cosmetic dental care

Other benefits of Sure Smile Dental Plan include:

• NO exclusions
• NO deductibles
• NO maximums
• NO claims forms
• 30-day money-back guarantee (Restrictions apply.)

Low-Fee Membership Plans

Whether you need a membership plan for one, for you plus one, or for you plus many, Sure Smile Dental Plan has membership plans with low annual fees that can provide savings for up to 10 members. Membership plans include:

• Individual Plan — $99 per year + $30 per additional member

Free Oral Exams, X-Rays, And Savings

Sure Smile Dental Plan can provide members with free comprehensive oral evaluations and full mouth X-rays. Sure Smile Dental plan can also provide members with 20–50% savings† on:

Preventative Dental Care:

• Exams
• X-rays
• Cleanings
• Fluoride
• Sealants

Basic Dental Care:

• Fillings
• Root canals
• Simple extractions
• Deep cleanings
• Scaling and root planning

Major Dental Care:

• Crowns
• Bridges
• Dentures
• Surgical extractions
• Implants

At no additional cost, Sure Smile Dental Plan provides you with Keep On Smilin' Assurance, which ensures the maintenance and care of any completed dental work by your affiliated provider for up to 5 years. Terms and conditions apply. Visit suresmiledentalplan.com to learn more.

Sign Up Today And Start Saving Immediately

With Sure Smile Dental Plan, your savings start immediately after you or your affiliated provider submits your enrollment form. You can sign up for Sure Smile Dental Plan at your affiliated dental office, online at suresmiledentalplan.com, by calling (888) 231-8099, or by emailing info@suresmiledentalplan.com. You can also mail your enrollment application and membership payment to:

• Sure Smile Dental Plan
• 811 Barton Springs Rd. Ste 750
• Austin, TX 78704

Within 7-10 days of your enrollment, you will receive a Welcome Kit in the mail. Your Welcome Kit will include:

• A welcome letter
• Membership Terms and Conditions
• Two member ID cards

*Sure Smile Dental Plan Is NOT INSURANCE, But Rather A Licensed Dental Savings Plan Offered Through Your Local Dental Office. Plan Members Receive Transparent, Member-Only Discounts From The Normal Retail Fees Their Affiliated Provider Typically Charges Patients Without Insurance. Plan Details And Exact Member Savings Vary By Affiliated Provider And Are Exclusive To Their Office. Since There’s No Claims Process Or Reimbursements, Members Must Arrange Payment With Their Affiliated Provider At The Time Of Service But Will Receive Discounts On All Dental Procedures Rendered. The Plan Is Not A Qualified Health Plan Under The Affordable Health Act. The Plan Does Not Meet The Minimum Creditable Coverage Requirements Under MGLC.111M And 956 CMR 5.00. Discount Medical Plan Organization (DMPO) And Plan Administrator: Ascension Dental Partners LLC, 816 Congress Ave. Ste. 1620, Austin, TX 78701

†Member Savings Is Defined As The Amount Members Pay Less Sure Smile Dental Plan’s Retail Fees Normally Charged To Uninsured, Self-Pay Patients Without A Dental Plan. Free Procedures Are Limited To 2x Per Member/Per Membership Term. Member Savings And Plan Incentives Are Exclusive To Affiliated Sure Smile Dental Plan Providers.