DENTAL PLANS - AON DENTAL SOLUTIONS

DENTAL DISCOUNTS (Aon Dental Solutions)

Open Up And Say Ahh! As a member, you can visit any participating dentist as often as you like and save 15% to 30% on dental care for you and your family. The dental program includes virtually everything from routine check-ups, to fillings, crowns, braces and even cosmetic work. Discounts are not available in AK, OK, RI, TN, UT, VT, WA.

Aon Dental Solutions Sample Savings:
Procedure Description	Usual Fee*	Discounted Fee** (for Plan Members)	Member Savings*
Routine 6 month Check-up	$48	$37	23.2%
Full Mouth X-Rays	$126	$90	28.4%
Adult Teeth Cleaning	$87	$65	25.9%
Child Teeth Cleaning	$65	$49	24.6%
Single Crown - Porcelain on High Noble Metal	$1,082	$782	27.7%
Root Canal Treatment - Bicuspid	$825	$601	27.2%
Root Canal Treatment - Molar	$990	$715	27.8%
Perio Scaling and Root Planing (Per Quadrant)	$248	$172	30.6%
Single Tooth Removal - Simple Extraction	$166	$115	30.9%
Complete Denture Maxillary	$1,650	$1,154	30.1%
Complete Denture Mandibular	$1,650	$1,155	30.0%
See the chart above for a sample of typical Aon Dental Solutions fees.* Some services are excluded from the program, and providers are not obligated to charge Members any specific rates for excluded services. Dental savings are based on Aon Dental Solutions Network's 200 Series Dental Fee Schedule for participating general dentists (fees vary by region) compared to the 2010 National Dental Advisory Service National Average (average savings 34%). Aon Dental Solutions Network's participating specialty dentists provide a discount of 20% off their usual and customary charge (15% for MN specialty dentists). * Discounted fees are listed for visits to a participating general dentists. Any procedure not covered on the complete fee schedule will be discounted 20% off the provider's usual and customary fee (15% for MN specialty dentists). Consult with your provider prior to beginning any treatment. Lab fees are additional.

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Disclosures: The discount medical, health, and drug benefits of this Plan (The Plan) are NOT insurance,a health insurance policy, a Medicare Prescription Drug Plan or a qualified health plan under the Affordable Care Act. The Plan provides discounts for certain medical services, pharmaceutical supplies, prescription drugs or medical equipment and supplies offered by providers who have agreed to participate in The Plan. The range of discounts for medical, pharmacy or ancillary services offered under The Plan will vary depending on the type of provider and products or services received. The Plan does not make and is prohibited from making members’ payments to providers for products or services received under The Plan. The Plan member is required and obligated to pay for all discounted prescription drugs, medical and pharmaceutical supplies, services and equipment received under The Plan, but will receive a discount on certain identified medical, pharmaceutical supplies, prescription drugs, medical equipment and supplies from providers in The Plan. The Discount Medical Plan Organization/Discount Plan Organization is Alliance HealthCard of Florida, Inc., 5005 LBJ Freeway, Suite 1500, Dallas, TX 75244. You may call 800-565-3827 or email info-abs@member-questions.com for more information or visit the provider link for a list of providers. The Plan will make available before purchase and upon request, a list of program providers and the providers’ city, state and specialty, located in the member’s service area. The fees for The Plan are specified in the membership agreement. The Plan includes a 30-day cancellation provision.

Note to MA consumers: The plan is not insurance coverage and does not meet the minimum creditable coverage requirements under M.G.L. c. 111M and 956 CMR 5.00.

Not available in AK, MT, ND, OK, RI, SD, TN, UT, VT, WA, WY. Medical discounts provided by Alliance HealthCard of Florida, Inc.