*Membership fees must be paid in full before receiving benefits. All payments must be paid during service, or the usual fees will apply.

HD Smile Saver Plan may not be used with dental insurance plans or other promotions. This plan is intended for patients who do not have dental insurance. Refunds will only be granted after the annual fee has been paid. The offer is for one year from the date of membership payment. Renewal rates may be subject to change.

THE PATIENT AND ANY OTHER PERSON RESPONSIBLE FOR PAYMENT HAVE THE RIGHT TO REFUSE TO PAY, CANCEL PAYMENT, OR BE REIMBURSED FOR
PAYMENT FOR ANY OTHER SERVICE, EXAMINATION, OR TREATMENT THAT IS PERFORMED AS A RESULT OF AND WITHIN 72 HOURS OF RESPONDING TO
THE ADVERTISEMENT FOR THE FREE, DISCOUNTED FEE OR REDUCED FEE SERVICE, EXAMINATION, OR TREATMENT.

Additional charges may be incurred for related services, which may be required in individual cases.

Disclosure: This discount program is NOT a dental insurance policy and does not make payments directly to dental service providers. Members are
obligated to pay for all dental services. Members will receive discounts on dental services. The HD Smile Saver Plan does not apply to treatment plans or fees paid before purchasing the plan.