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Great savings on dental care
Great savings on dental care
Great savings on dental care
The following chart compares the national
average fees for common dental procedures
with those of the Renaissance Healthy Savings
CardSM network. This is an example of the
substantial savings available through the
Healthy Savings Card.
The following chart compares the national
average fees for common dental procedures
with those of the Renaissance Healthy Savings
CardSM network. This is an example of the
substantial savings available through the
Healthy Savings Card.
The following chart compares the national
average fees for common dental procedures
with those of the Renaissance Healthy Savings
CardSM network. This is an example of the
substantial savings available through the
Healthy Savings Card.
SAMPLE SAVINGS*
Code Description
Plan
Cost
Avg.
Cost Savings
0120 Periodic oral evaluation
$23
$49
0274 Bitewings—4 films
$29
1110 Prophylaxis—adult (light)
SAMPLE SAVINGS*
SAMPLE SAVINGS*
Code Description
Plan
Cost
Avg.
Cost Savings
Code Description
Plan
Cost
Avg.
Cost Savings
53%
0120 Periodic oral evaluation
$23
$49
53%
0120 Periodic oral evaluation
$23
$49
53%
$63
54%
0274 Bitewings—4 films
$29
$63
54%
0274 Bitewings—4 films
$29
$63
54%
$45
$91
51%
1110 Prophylaxis—adult (light)
$45
$91
51%
1110 Prophylaxis—adult (light)
$45
$91
51%
1120 Prophylaxis—child
$32
$67
52%
1120 Prophylaxis—child
$32
$67
52%
1120 Prophylaxis—child
$32
$67
52%
2160 Amalgam—3 surface, primary
or permanent
$95
$210
55%
2160 Amalgam—3 surface, primary
or permanent
$95
$210
55%
2160 Amalgam—3 surface, primary
or permanent
$95
$210
55%
2750 Crown—Porcelain fused to high
noble metal
$577
$1,070 46%
2750 Crown—Porcelain fused to high
noble metal
$577
$1,070 46%
2750 Crown—Porcelain fused to high
noble metal
$577
$1,070 46%
3330 Root canal—molar (excluding
final restoration)
$558
$1,000 44%
3330 Root canal—molar (excluding
final restoration)
$558
$1,000 44%
3330 Root canal—molar (excluding
final restoration)
$558
$1,000 44%
4341 Periodontal scaling and root planing
$119
$248
52%
4341 Periodontal scaling and root planing
$119
$248
52%
4341 Periodontal scaling and root planing
$119
$248
52%
7140 Extraction—erupted tooth or
exposed root
$74
$167
56%
7140 Extraction—erupted tooth or
exposed root
$74
$167
56%
7140 Extraction—erupted tooth or
exposed root
$74
$167
56%
8080 Comprehensive orthodontic treatment 20%
of the adolescent dentition
discount $5,581 20%
8080 Comprehensive orthodontic treatment 20%
of the adolescent dentition
discount $5,581 20%
8080 Comprehensive orthodontic treatment 20%
of the adolescent dentition
discount $5,581 20%
*These fees represent the CI-5 fee schedule. Average cost is
based on the 80th percentile of the National Dental Advisory
Service Comprehensive Fee Report for 2008.
*These fees represent the CI-5 fee schedule. Average cost is
based on the 80th percentile of the National Dental Advisory
Service Comprehensive Fee Report for 2008.
*These fees represent the CI-5 fee schedule. Average cost is
based on the 80th percentile of the National Dental Advisory
Service Comprehensive Fee Report for 2008.
**Prices subject to change
**Prices subject to change
**Prices subject to change
NOTE: THIS PLAN IS NOT INSURANCE.
NOTE: THIS PLAN IS NOT INSURANCE.
NOTE: THIS PLAN IS NOT INSURANCE.
See disclosures on reverse side.
See disclosures on reverse side.
See disclosures on reverse side.
Disclosures:
Disclosures:
Disclosures:
1. THIS PLAN IS NOT INSURANCE.
1. THIS PLAN IS NOT INSURANCE.
1. THIS PLAN IS NOT INSURANCE.
2. The plan provides discounts at certain
health care providers for medical services.
The range of discounts will vary depending
on the type of provider and service.
3. The plan does not make payments directly
to the providers of medical services.
4. Plan members are obligated to pay for
all health care services but will receive a
discount from those health care providers
who have contracted with the discount
medical plan organization.
5. Before purchase, you may access a list
of participating health care providers at
www.HealthySavingsCard.com. Upon
request the plan will make available
a written list of participating health
care providers.
6. You have the right to cancel within the
first 30 days after receipt of membership
materials and receive a full refund.
7. This program is administered by:
Renaissance Life & Health Insurance
Company of America, 1405 West County
Line Road, Greenwood, IN 46142;
phone (888) 780-8988.
2. The plan provides discounts at certain
health care providers for medical services.
The range of discounts will vary depending
on the type of provider and service.
3. The plan does not make payments directly
to the providers of medical services.
4. Plan members are obligated to pay for
all health care services but will receive a
discount from those health care providers
who have contracted with the discount
medical plan organization.
5. Before purchase, you may access a list
of participating health care providers at
www.HealthySavingsCard.com. Upon
request the plan will make available
a written list of participating health
care providers.
6. You have the right to cancel within the
first 30 days after receipt of membership
materials and receive a full refund.
7. This program is administered by:
Renaissance Life & Health Insurance
Company of America, 1405 West County
Line Road, Greenwood, IN 46142;
phone (888) 780-8988.
2. The plan provides discounts at certain
health care providers for medical services.
The range of discounts will vary depending
on the type of provider and service.
3. The plan does not make payments directly
to the providers of medical services.
4. Plan members are obligated to pay for
all health care services but will receive a
discount from those health care providers
who have contracted with the discount
medical plan organization.
5. Before purchase, you may access a list
of participating health care providers at
www.HealthySavingsCard.com. Upon
request the plan will make available
a written list of participating health
care providers.
6. You have the right to cancel within the
first 30 days after receipt of membership
materials and receive a full refund.
7. This program is administered by:
Renaissance Life & Health Insurance
Company of America, 1405 West County
Line Road, Greenwood, IN 46142;
phone (888) 780-8988.
Note to Texas Consumers: Regulated by the
Texas Department of Licensing and Regulation,
P.O. Box 12157, Austin, TX 78711; phone
(800) 803-9202 or (512) 463-6599; Web site
www.license.state.tx.us/complaints. The program
and its administrators have no liability for providing
or guaranteeing service by providers or the quality of
service rendered by providers. *Medicare statement
applies to Maryland residents when pharmacy
discounts are part of program. Products and services
referred to in this brochure are not available in all
states or jurisdictions. The Healthy Savings Card is
not available to residents of CA, MT, NV or VT.
Note to Texas Consumers: Regulated by the
Texas Department of Licensing and Regulation,
P.O. Box 12157, Austin, TX 78711; phone
(800) 803-9202 or (512) 463-6599; Web site
www.license.state.tx.us/complaints. The program
and its administrators have no liability for providing
or guaranteeing service by providers or the quality of
service rendered by providers. *Medicare statement
applies to Maryland residents when pharmacy
discounts are part of program. Products and services
referred to in this brochure are not available in all
states or jurisdictions. The Healthy Savings Card is
not available to residents of CA, MT, NV or VT.
Note to Texas Consumers: Regulated by the
Texas Department of Licensing and Regulation,
P.O. Box 12157, Austin, TX 78711; phone
(800) 803-9202 or (512) 463-6599; Web site
www.license.state.tx.us/complaints. The program
and its administrators have no liability for providing
or guaranteeing service by providers or the quality of
service rendered by providers. *Medicare statement
applies to Maryland residents when pharmacy
discounts are part of program. Products and services
referred to in this brochure are not available in all
states or jurisdictions. The Healthy Savings Card is
not available to residents of CA, MT, NV or VT.
Discounts are based on national averages. Actual
savings will vary depending on provider location and
type of service provided.
Discounts are based on national averages. Actual
savings will vary depending on provider location and
type of service provided.
Discounts are based on national averages. Actual
savings will vary depending on provider location and
type of service provided.
THIS IS NOT A MEDICARE
PRESCRIPTION DRUG PLAN.*
SC-1008M v1
3/10 cc 5K
THIS IS NOT A MEDICARE
PRESCRIPTION DRUG PLAN.*
SC-1008M v1
3/10 cc 5K
THIS IS NOT A MEDICARE
PRESCRIPTION DRUG PLAN.*
SC-1008M v1
3/10 cc 5K