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Who is AmeriPlan®? |
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AmeriPlan® is a Nationwide Discount medical Plan Organization. We arrange for our members to have access to physicians, ancillary services, hospital advocacy, dental, vision, prescription drug and chiropractic providers who have agreed to offer their services at negotiated discounts off their usual and customary fees. |
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What is AmeriPlan Dental®? |
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AmeriPlan Dental® is a Discount medical Program Organization that offers memberships in its discount dental program. Members can save 25% to 65% on all restorative and cosmetic work (fillings, crowns, braces, etc.) and up to 80% on preventative work (teeth cleaning, x-rays, etc.) performed by a general dentist. Specialist fees are discounted 20 - 25%.
Since the dental program is not insurance or a medical care organization, all ongoing dental problems are accepted except orthodontic treatment in progress. There are immediate savings, no paperwork to fill out and no limits on visits to your dentist. |
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How do I pay my Membership Fee? |
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Monthly or quarterly payments are made ONLY by electronic bank draft or by credit card. INVOICING IS DONE ONLY FOR ANNUAL MEMBERSHIPS PAID ONE YEAR IN ADVANCE. Individual membership is $11.95 per month and family membership is $19.95 per month. Family membership includes all residents in the household, including children, parents, relatives and significant others. |
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How much more do the pharmacy, vision and chiropractic benefits cost?
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The prescription drug, vision and chiropractic benefits are included at no extra cost with the dental plan membership. |
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Who are the Dental, Pharmacy, Vision and Chiropractic Care providers? |
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AmeriPlan Dental® has assembled one of the largest networks of dental providers in the nation, and we are continually adding to this base. These dentists are well established, with successful dental practices. Our prescription card may be used at our participating pharmacies nationwide, as well as through mail order. The vision care benefits are available nationwide at more than 12,000 providers, and our chiropractic benefits may be used with more than 7,500 credentialed chiropractors. |
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How do I use the benefits? |
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Within 10 to 14 working days of receipt of your application, you will receive a Member Information Guide, Membership Identification Cards and a Dental, Pharmacy, Vision and Chiropractic Care Directory. Present your Identification Card to any AmeriPlan® provider and you will be eligible to get the discounted fees. You pay the provider at the time of service. |
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How do I locate an AmeriPlan® medical provider? |
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There are three ways to locate a provider. Instructions are included in the Member Information Guide that you will receive with your identification cards.
They are:
- A directory of providers near your home is included in your Member Information Guide.
- A provider locator is available at: www.summitdentalplans.com/locate-provider.htm
- Call AmeriPlan® medical Customer Service at the listed number in your guide.
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Are ongoing dental/medical problems accepted? |
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Since AmeriPlan® is NOT INSURANCE OR A medical ORGANIZATION, all ongoing dental/medical problems are accepted except for contracted treatment plans including orthodontic treatment in progress. |
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Does this medical Program (CDHC) coordinate with regular insurance plans? |
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Yes it can, but it is always at the Doctor's discretion to accept both. As with our Dental Program (DVPC) benefits, your insurance should always be the primary payment form. |
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How is the discounted fee calculated? |
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The rates that the provider will charge are determined based upon either a set fee schedule that the provider has contracted with the physician network, or as a percentage off of their billed charges. In general, discounts will vary between 20% - 50%. Labs and Diagnostics will have discounts of up to 80%. |
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Is the medical Program (CDHC) contract on an annual basis and cancelable at any time, like the Dental Program (DVPC)? |
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Yes. |
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How does the Hospital Advocacy Program work? |
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The Hospital Advocacy Program negotiates with the hospital based on the member's ability to pay. |