NO INSURANCE? NO PROBLEM!
Dental Membership Plans for Kids!
Join our in-house dental membership and save on cleanings, exams, and more—with no insurance required!
Benefit Premium
PLAN CHILD (0-12 yrs)
Total annual cost $420.00
PLAN CHILD (13 yrs +)
Total annual cost $520.00
Savings of up to $500.00
Additional Members save $5 a month
About Our Membership Plan
The Union City Pediatric Dentistry Membership Plan is designed to provide affordability and greater access to quality dental care. Your benefits are available only at Union City Pediatric Dentistry, 33800 Alvarado-Niles rd. Suite #7, Union City CA.
With your Dental Membership 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)
This program is a discount plan, not a dental insurance plan, and is secondary to any other dental plan. It cannot be used:
In conjunction with another dental plan
For services for injuries covered under workman’s compensation
For treatment which, in sole opinion of the 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 is covered under automobiled medical
Program Guidelines
There will be a $50 reinstatement fee if your plan lapses
Cannot be used in conjunction with another dental plan
NON-REFUNDABLE
No refunds or premiums will be issued at any time if participant decides not to utilize dental plan
Patient’s portion of any bill is due on the same day as service
There is a 5% auto-renewal discount
The plan is in effect once the premiums have been paid
THIS PLAN IS NOT INSURANCE and is not intended to replace your health insurance.
Our Membership
Plan Coverage Table
Diagnostic & X-rays
100% Comprehensive Exam (new patients, initial visit)
100% Periodic Exam (2 per year)
50% Complete Series or Panorex (1 every 3 years)
100% Periapical, First Film
100% Periapical, Additional Film
100% Bitewings (1 time per year)
Preventive
100% Child Prophylaxis (cleaning) (2 per year)
100% Adult Prophylaxis (cleaning) (2 per year)
20% Additional Cleanings per year
100% Flouride (2 per year, no age limit, no copay
20% Sealants
All Other Procedures
20% Fillings & Build Ups
15% Crowns
15% Specialty Services
Union City Pediatric Dentistry is committed to providing outstanding dental care to families in the Bay Area. If you would like to apply for the Membership Plan, please fill out and detach the following application form and turn it into our office.
