The Summit Dental Health Dental Discount Plan is designed to provide affordability and greater access to quality dental care.You will receive immediate, hassle-free and convenient eligibility. The dental services we offer are available at any Summit Dental Health Office.
This is a discount plan, not a dental insurance plan. The plan may be enhanced from time to time. Patient portion is due at the time of service.
We make it simple for you to receive continuous care through our renewal process.
Visit our website for a family, friendly, dental location near you.
No yearly maximums
No claim forms
No pre-authorization requirments
No pre-existing condition limitations
Immediate eligibility (no waiting periods)
*Family Plan includes up to
6 members (Unmarried Children).
Additional family members may be
added for $115 each.
Plan year (12 month period)
This plan cannot be used in
conjunction with any other
promotion, offer or
Preventative Diagnostic 100%
Exams & X-Rays
• Comprehensive Exam per Member (one per member)
• Periodic Exams (2 per plan year)
• Limited Exam Problem Focus
(1 per plan year)
• Bitewings (1 per plan year)
• Complete Series or Panorex
(1 every 3 plan years)
• Individual lntraoral Periapicals
• Occlusal X-Rays (2 per plan year)
• Prophylaxis Cleaning-Adult or Child (2 per plan year)
• Fluoride-Adult or Child
(2 per plan year)
Sealants I Space Maintainers
All other services not otherwise specified
THIS PLAN IS NOT INSURANCE and is not intended to replace insurance.
This plan is not a Qualified Health Plan under the Affordable Care Act.
The plan provides discounts at certain health care providers for dental services. The range of discounts will vary depending on the type of service. The plan does not make payments directly to the providers of dental
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, in accordance with the specific
pre-negotiated discounted fee schedule.
This program does not guarantee the quality of the services or procedures
offered by the providers. This program shall make available before purchase and upon request, a list of program providers, including their
address and specialty.
Please visit any of our
conveniently located offices
Summit Dental Health
Dental Discount Plan Administrator P.O. BOX 3082
Sioux City, IA 51102
A complete and current listing of
all Summit Dental Health locations as well as applications are all available online:
Online appointment request are unavailable at this time.
Please call one of our offices to make an appointment.