SAMPLE DENTAL COMPARISON CHART FOR CALIFORNIA REGION 2* Dental Procedure Usual Fee** You Pay Savings % Savings † Family Care Advantage Preventive Care Information Brochure Adult Cleaning $102.00 $67.00 $35.00 34.3% Full Mouth X-Rays $149.00 $68.00 $81.00 54.4% Comprehensive Exam $97.00 $36.00 $61.00 62.9% Other Common Dental Procedures White Filling (1 Surface) $156.00 $65.00 $91.00 58.3% Crown (Porcelain/Noble Metal) $1,114.00 $727.00 $387.00 34.7% Partial Denture (Removable) $1,317.00 $447.00 $870.00 66.0% Root Canal (Front Tooth) $719.00 $455.00 $264.00 36.7% Extraction $559.00 $332.00 $277.00 40.6% (Impacted Wisdom Tooth) Dental Implant $2,606.00 $1,545.00 $1,061.00 40.7% (Not Including Crown) Orthodontics & Teeth Whitening Full Orthodontic Case (Braces) $5,000.00*** $3,973.00 $1,027.00 20.5% Professional Teeth $734.00 $294.00 $440.00 59.9% Whitening (At Home Trays) Discounted Prices specific to your procedure and location can be obtained via the website, www.FamilyCareCard.com. For a printed list of the discounted prices, call Member Services at 1.800.323.4057. * Region 2 includes: Imperial, Riverside, San Bernardino, and San Diego Counties. ** Usual fee is an average based on the 80th percentile of the 2010 “Medicode” fee schedule, a national fee profiling service. Members may review pertinent fee information by contacting Member Services at 1.800.323.4057. Fees may vary slightly by geographic region. *** Fee determined by First Dental Health claims review data. Actual savings may vary by dental office. † See sample of dental savings above. 1 This service goes into effect thirty (30) days after enrollment. For a more complete disclaimer go to www. servicemyplan.com and click on the “Comprehensive Blood Tests” link, and then “Disclaimer” link. The first of the two free CWP blood labworks, for the primary member or spouse, one each per year, goes into effect in ninety (90) days after enrollment. The second free CWP blood labwork can only be ordered/taken by the other person, and is effective in one-hundred and eighty (180) days after enrollment. CA292_FamilyCareAdvantage_Brochure VER:06072010 2 The $20 Generic Prescription Card goes into effect forty-five (45) days after enrollment. DISCLOSURES: DENTAL / $20 GENERIC RX CARD / PHARMACY DISCOUNTS / COMPREHENSIVE BLOOD TESTS / LAB SERVICES / RADIOLOGY & IMAGING a. Family Care Advantage is a membership plan that one must join in order to obtain the advertised discounts. b. An initial and a monthly fee are required from the prospective member to join The Family Care Advantage Plan. c. Plan members obtain the advertised discounts only from the providers contracted with the plan. d. Plan members may be required to pay for all healthcare services at the time they are rendered in order to receive the discount. e. Members and prospective members can obtain plan information, enrollment, terms and conditions and pricing information by calling 1.800.323.4057 or via web at www. For Information Contact: FamilyCareCard.com, or by contacting their sales representative. Daniel Mejia Code; 43848THIS IS NOT INSURANCE Phone: (866) 517-3139
FAMILY CARE ADVANTAGE 1 We understand how important COMPREHENSIVE BLOOD TESTS it is to maintain YOUR health, and that is why we have created Family Care, providing you with the healthcare you need at an GET TWO FREE COMPREHENSIVE affordable price! BLOOD TESTS VALUED AT OVER $529 EACH, FOR THE PRIMARY MEMBER DENTAL CARE AND SPOUSE, ONE EACH PER YEAR, You don’t have to grit your teeth at outrageous dental fees; our dentists are contracted at significantly reduced rates †! EVERY YEAR! $20 GENERIC PRESCRIPTION CARD2 Get any generic medication for $20 or less. Also save on name-brand medications! PHARMACY DISCOUNT PROGRAM Comprehensive Blood Work performed timely Save on your medications at participating pharmacies! could help with the prevention and/or early detection of serious LABORATORY SERVICES Receive discounts of 30% off the usual and customary fees on medical conditions such as Heart Disease, all lab services! Prostate Cancer, Diabetes, and therefore RADIOLOGY & IMAGING could save your life. Save 40% off the usual and customary fees of MRI and CT procedures, and 30% for all other procedures! For Information Contact:Additional Comprehensive Blood Tests can beAdditional Comprehensive Blood Tests can be Daniel Mejia Code: 43848 obtained at over 80% savings! obtained at over 80% savings! Phone: (866) 517-3139 THIS IS NOT INSURANCE
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