About Memberships
Bloomington Family Dental is pleased to offer an In-Office Membership Program to patients currently not covered by a dental benefit plan. We want to help you prioritize your oral health, and this program allows for a complete continuation of preventative care.
If you are a new patient and interested in our Membership Plan, please come visit us for an individualized new patient consultation. You will meet our team and a customized treatment plan will be created for you. We will work with you to find the best plan for your personal continuation of preventive care needs.
Childfor children age 14 and under
- 2 cleanings
- 2 periodic exams
- 1 bitewing x-ray
- 2 Fluoride treatments
- 1 Emergency exam
- 15% off all additional regularly priced services when paid by cash or check on the day of service
- 13% off all additional regularly priced services when paid by credit card on the day of service
Adultfor patients without periodontal (gum) disease
- 2 cleanings
- 2 periodic exams
- 1 bitewing x-ray
- 1 Emergency exam
- 15% off all additional regularly priced services when paid by cash or check on the day of service
- 13% off all additional regularly priced services when paid by credit card on the day of service
Periodontal for patients with periodontal (gum) disease
- 3 periodontal maintenance cleanings
- 2 periodic exams
- 1 bitewing x-ray
- 1 Emergency exam
- 15% off all additional regularly priced services when paid by cash or check on the day of service
- 13% off all additional regularly priced services when paid by credit card on the day of service
NEED MORE INFORMATION?
Contact us and we will discuss the plans and answer your questions.
FREQUENTLY ASKED QUESTIONS
For existing patients, scroll down and click the Get Started button underneath the program that has been selected by the Doctors for your personal preventative care plan. You may pay online. Once your online payment is processed, a member of the Bloomington Family Dental Staff will contact you to answer any questions you may have and get you started with the program. Another option is to call Bloomington Family Dental and speak to a member of our staff to enroll over the phone.
For new patients, scroll down to the Contact Us to schedule a personalized New Patient Consultation. You will meet our team and a customized treatment plan will be created for you. Once that plan is created, the Doctors will prescribe you a preventative care plan so you may sign up for the appropriate Membership Program.
We understand that dental discount plans vary between providers, so please do not hesitate of contact us with any questions.
No, this program is not an insurance plan. Our In-Office Membership Plan provides our patients with discounted prices on preventative care, as well as a range of common dental procedures. You will pay the discounted rate at the time services are provided.
Yes, you can sign up an entire family or any individual. This offer is not valid when using a dental benefit of any kind.
Yes, all existing patients are invited to join our In-Office Membership Plan.
Our In-Office Dental Membership Plan is for uninsured patients or patients who choose not to use their dental benefit (for example, if they have out of network dental benefit plan). If you become insured, or choose to use your dental benefit, your membership will be terminated.
This offer is not valid in combination with a dental benefit of any kind. We sincerely appreciate your loyalty to the practice.
Most FLEX plans reimburse dental procedures, but we advise you to contact your employee benefits provider to confirm the parameters of their coverage.
NEED MORE INFORMATION?
Contact us and we will discuss the plans and answer your questions.
FREQUENTLY ASKED QUESTIONS
For existing patients, scroll down and click the Get Started button underneath the program that has been selected by the Doctors for your personal preventative care plan. You may pay online. Once your online payment is processed, a member of the Bloomington Family Dental Staff will contact you to answer any questions you may have and get you started with the program. Another option is to call Bloomington Family Dental and speak to a member of our staff to enroll over the phone.
For new patients, scroll down to the Contact Us to schedule a personalized New Patient Consultation. You will meet our team and a customized treatment plan will be created for you. Once that plan is created, the Doctors will prescribe you a preventative care plan so you may sign up for the appropriate Membership Program.
We understand that dental discount plans vary between providers, so please do not hesitate of contact us with any questions.
No, this program is not an insurance plan. Our In-Office Membership Plan provides our patients with discounted prices on preventative care, as well as a range of common dental procedures. You will pay the discounted rate at the time services are provided.
Yes, you can sign up an entire family or any individual. This offer is not valid when using a dental benefit of any kind.
Yes, all existing patients are invited to join our In-Office Membership Plan.
Our In-Office Dental Membership Plan is for uninsured patients or patients who choose not to use their dental benefit (for example, if they have out of network dental benefit plan). If you become insured, or choose to use your dental benefit, your membership will be terminated.
This offer is not valid in combination with a dental benefit of any kind. We sincerely appreciate your loyalty to the practice.
Most FLEX plans reimburse dental procedures, but we advise you to contact your employee benefits provider to confirm the parameters of their coverage.
Terms and Conditions
The Dental Membership Program is not insurance. This program is offered to individuals and families who do not have insurance, or who choose not to utilize their insurance at our office. Dental Membership Program benefits are not transferable to another dental practice or dental specialty practice. Payment is always due at the time of service.
- Membership is for one year beginning on the enrollment date.
- Each additional family membership must be paid at the time of the initial membership or at renewal time.
- Membership dues are payable in full upon enrollment.
- Cash, check or credit card payments accepted.
- Membership will automatically renew on the anniversary date unless written request to cancel is received prior to renewal date.
- Member gives permission for Bloomington Family Dental to process their credit card on the annual renewal date unless written request to cancel is received prior to renewal date.
- Annual membership fees may be adjusted annually.
- Member will be informed of any increase in annual membership fee prior to renewal.
- Members are responsible for notifying Bloomington Family Dental of any address or contact changes.
- Missed appointment fees are ineligible for the membership discount.
- Membership may be terminated at will by written notice from the patient to Bloomington Family Dental.
- Bloomington Family Dental may terminate the membership by written notice to the patient when terminating the doctor patient relationship or discontinuing the membership program.
- Membership benefits are not transferable, have no cash value and may not be redeemed for cash.
- This is not an insurance plan and is not subject to regulation by the state department of insurance.
- Plan membership cannot be combined with current dental insurance plans.
- No insurance claim will be filed for Members under this plan.
- The plan is for individual use only. It is not a group benefit plan.
- Payments for additional dental services are the member’s responsibility.
- Additional dental service fee will be based upon the fee at the date of service.
- Payment is due on the date of service to qualify for the discounts detailed above.
- Membership must be current to receive the discount.
- Fees for dental services may change at any time.
- Bloomington Family Dental retains the right to interpret the program stipulations.
- It is the member’s responsibility to schedule and keep all appointments offered as part of the Dental Membership Program.
- Please notify our office at least 48 hours in advance if you must change a scheduled appointment.
- No deductibles, no pre-authorizations, no yearly maximums, no waiting period.
- No exclusions for elective care.
Disclaimer: This agreement does not provide health insurance coverage, including the minimal essential coverage required by applicable federal law. It provides only the services described herein. It is recommended that health care insurance be obtained to cover dental services not provided for under this in-office membership care agreement.