No Insurance? No Worries! Dr. Koshki Presents:
Smile Health Plan
Drs. Koshki & Sakamoto recognize there is a need in our community to offer affordable solutions to our patients who may not have dental insurance. The importance of good dental care should not be overshadowed by the costs. Many un-insured patients feel their only choice is the large chain (clinic) dental offices. While that may work for some patients, many people would rather have the personalized experience that only a private practice can offer. We can make that happen! We would like to familiarize you with the in-office plan that we offer to our patients who do not have dental insurance.
Our Smile Health Plan, hereafter referred to as “the plan” or “your membership plan” enables patients to get the care they need at prices they can afford even without dental insurance.
Patients who Enroll in the Membership Program are Entitled to:
- No deductibles
- No pre-existing condition limitations
- No yearly maximums
- No frequency limitation
- No services ‘denied’
- No third party decision making
- No claim forms
- No pre-authorizations
- Immediate eligibility (no-waiting period)
Membership Rates (Annual Fee)
| Adults: | $425 (first year) |
|---|---|
| Renewal (Adult): | $375 |
| Children Under 13: | $275 per year |
What’s included in the Membership Program:
- Two dental cleanings – prophylaxis (in the absence of periodontal disease) OR
- Two periodontal cleanings – periodontal maintenance (following active gum treatments)
- Unlimited oral exams
- Annual periodontal evaluation
- Annual oral cancer screening
- Unlimited digital x-rays and intra-oral photos
- Fluoride treatment as necessary (for children under 13)
Additional Benefits:
- Additional dental cleanings – Fee reduced 15%
- Emergency services – Fee reduced 15%
- Cosmetic procedures – Fee reduced 15%
- Periodontal procedures – Fee reduced 15%
- All general dentistry procedures (except fillings) – Fee reduced 15%
- Fillings – Fee reduced 20%
Terms of Membership:
The 12 month membership fee is due upon joining. Membership will become effective upon receipt of dues, with no waiting period. It is the sole responsibility of the Member to maximize their benefits by arranging all appointments within the 12 month membership period. If the appointments are not used, the member will not be entitled to a refund. Appointments included with your membership are not transferrable to another patient or extended beyond your membership expiration date. Renewal payment is due the beginning of the same month each year. The anniversary month of your membership is the month you originally joined, regardless of when payment is received. There will be a $50.00 re-instatement fee if your plan lapses. ALL MEMBERSHIP PLANS ARE NON-REFUNDABLE AND NON-TRANSFERRABLE. Discounts under your membership do not apply to any treatment that was done prior to joining.
Program Exclusions and Limitations:
Our membership is NOT a dental insurance plan, and can only be used at Dr. Koshki’s and Dr. Sakamoto’s office in Santa Monica, for treatment provided by Dr. Koshki, Dr. Sakamoto or his hygienists. The plan cannot be combined with any other discount offer, coupon, insurance, or outside financing plan such as CareCredit. The membership cannot be used for hospitalization or hospital charges of any kind, and cannot be used for services for injuries covered under workman’s compensation. The plan cannot be used for treatment, which in the sole opinion of Dr. Koshki, lies outside the realm of his expertise. The plan cannot be used for referrals to specialists and is not transferrable for discounts at a specialist’s office. It cannot be used for costs of dental care which is covered under automobile or medical insurance. Payment for service is due when service is rendered, unless prior arrangements are made and approved. Discounts under your membership do not apply to any treatment prior to joining. Discounts under your membership cannot be used for any family member on your account unless they have also paid a membership fee.
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and
Proud Corporate Partners of the Santa Monica Malibu Education Foundation
