Plan: Dentist Direct Summit Value A, B, C

Type:

Co-Pay

Open Dental Insurance Setup:

• Carrier: Dentist Direct, LLC, PO Box 5000, Springville, UT 84663, Phone: (866) 696-6527
• Group:
• Plan Type: PPO Percentage
• Don't Substitute: Checked
• Fee Schedule: Dentist Direct
• Other Fee Schedules: Dentist Direct Summit Co-Pay A, Co-Pay B Co-Pay C,
• Benefit Information: 100% in all categories

Plan Notes:

• Annual max applies
• No deductible, no waiting periods
• Group name will say, "Summit Value plan A,B or C" These are different copay plans - Be careful in your selection
• $15 copay on all visits

Sample Cards:

We need an example if you get one.