Member Terms and Conditions:
This program is not insurance. It is a discount membership program offered by
Formulated Dental Plan / CAREINGTON International, Inc. Formulated Dental Plan /
CAREINGTON are not a licensed insurer(s), health maintenance organization(s), or
other underwriters of health care service(s). No portion of any provider's fees
will be reimbursed or otherwise paid by Formulated Dental Plan / CAREINGTON.
Formulated Dental Plan / CAREINGTON is not licensed to provide and does not
provide medical services or items to individuals. Formulated Dental Plan owns the
data it collects from you, and as such, may share such information with third
parties.
Savings are based upon the provider's usual and customary fees. Actual savings
will vary depending upon location and specific services or products purchased.
Please verify such benefits with each individual provider. The discounts
contained herein may not be used in conjunction with any other discount plan or
program. All listed or quoted prices are current prices by participating
providers and subject to change without notice. Any procedures performed by a
non-participating provider are not discounted. From time to time, certain
providers may offer products or services to the general public at prices lower
than the discounted prices available through this program. In such event,
members will be charged the lowest price. Discounts on professional services are
not available where prohibited by law. This plan does not discount all
procedures. Any procedure delivered which is not listed on the Schedule of
Services may cause additional cost to be incurred by the member. The dollar
amount specified adjacent to each procedure may not be the only cost incurred
for a given treatment because the treatment may require more than one procedure.
Specialist care may not be available in all areas. In cases in which you are
referred to a participating dental specialist, you will generally receive 20%
off their usual and customary fees. Some providers may charge for missed or
broken appointments if no prior notice is given.
Providers are subject to change without notice and benefits may vary in some
states. It is the member's responsibility to verify that the provider is a
participant in the plan. At any time Formulated Dental Plan / CAREINGTON has the
right to eliminate a Participating Professional from the respective network in
which they are associated. Formulated Dental Plan / CAREINGTON International
cannot guarantee the continued participation of any provider. If he or she
leaves the plan, you will need to select another provider.
Providers contracted by Formulated Dental Plan / CAREINGTON are solely
responsible for the professional advice and treatment rendered to members and
Formulated Dental Plan / CAREINGTON disclaims any liability with respect to such
matters. Benefits and benefit providers may change or be discontinued at anytime
without notice.
Work in progress, after enrollment on the plan, must be completed by the
provider who started the work.
You have 45 days from the time of enrollment to use the plan risk-free. If for
some reason within 45 days you are dissatisfied with the plan and wish to
cancel, please send a cancellation letter with your name and member number to
Member Services, Formulated Dental Plan 1203 North Kentucky Street Suite B, McKinney,
TX 75069.
By enrolling for a plan, you are authorizing Formulated Dental Plan to bill your
credit card or checking account for the plan you have selected as frequently as
required to collect any amounts owing Formulated at a given time. This charge
shall remain in force until the last day of the following month in which you
notify Formulated Dental Plan in writing of its cancellation. Each time your
credit card company or bank denies payment, a charge of ten dollars shall be
assessed. Services available under this plan may be suspended during any period
of time in which your balance is past due. By enrolling, you are agreeing to the
terms and conditions of the plan and adopting it for a minimum of one year. An
early termination shall result in the remaining balance of payments to complete
the minimum period becoming immediately due. This plan will automatically renew
at the end of your membership term, and your credit card or bank account will be
automatically charged or drafted for the appropriate amount.
Formulated Dental Plan, LLC ,the program and its administrators have no liability
for providing or guaranteeing service or the quality of service rendered. Note
to Utah residents: This contract is not protected by the Utah Life and Health
Guaranty Association.