Huntersville, NC 28078
(704) 948-1111
reimelsdentistry.com
Plan Summary
Cost of Plan: $445/year
Plan Value: $645/year
Savings: $200/year
Starts on: December 21, 2024
Plan Renews On: December 21, 2025
Membership Plan Benefits Include:
| Description | CDT Code | Qty | Value1 | You Pay | ||
|---|---|---|---|---|---|---|
| Professional cleanings | D1110 | 2 | 116.00 | $0 | ||
| Regular exams | D0120 | 2 | 68.00 | $0 | ||
| Oral cancer screening | Once a year | $0 | ||||
| Routine x-rays | Varies | As Needed | 177.00 | $0 | ||
| Emergency exam | D0140 | 1 | 100.00 | $0 | ||
| Total | $645 | |||||
| Procedure Category | Discount |
| D0000-D0999 (Diagnostic) | 15% |
| D1000-D1999 (Preventative) | 15% |
| D2000-D2999 (Restorative) | 15% |
| D3000-D3999 (Endodontics) | 15% |
| D4000-D4999 (Periodontics) | 15% |
| D5000-D5999 (Removable Prosthodontics) | 15% |
| D6000-D6199 (Implant Services) | 10% |
| D6200-D6999 (Fixed Prosthodontics) | 15% |
| D7000-D7999 (Oral & Maxillofacial Surgery) | 15% |
| D8000-D8999 (Orthodontics) | 15% |
| D9000-D9999 (Adjunctive General Services) | 15% |
Exclusions
This membership plan excludes procedures not listed in the accompanying fee schedule. This membership plan does not cover procedures completed outside of this practice.
Disclosures
- The membership plan is not insurance and is not a qualified health plan under the Affordable Care Act. The membership plan is a direct agreement between you and your dentist. You are electing to make payments directly to your dentist in return for services.
- The membership plan is administered by AmplePlans, LLC (Ample Plans) for your dentist.
- Your dentist has established his or her own membership fees, treatment fees, and terms. Ample Plans does not make payments to dentists for medical services. You pay dentists for medical services and Ample Plans charges dentists fees for use of the Ample Plans platform and administrative services.
- The membership plan includes a 30-day money back guarantee. You can receive a full refund up to 30 days after purchase if no benefits of the plan have been used. Refunds are at your dentist’s discretion if (1) benefits of the plan have been used in the first 30 days, and/or (2) more than 30 days has passed since you purchased the plan.
- The membership plan runs for 12 months and includes an auto renewal feature. You can opt out of the auto renewal at anytime from your online account. You will receive an email reminder 45 days prior to the renewal date.
- Your membership plan payments must be current to receive the services and discounts included in the membership plan.
- Payment for treatment not included in the membership plan is due at the time of service.
- The pricing offered by your dentist may not be combined with any other offers or discounts including insurance coverage.
1Value is calculated by using the fee schedule from your retail office fees.
Plan Summary
Cost of Plan: $635/year
Plan Value: $1103/year
Savings: $468/year
Starts on: December 21, 2024
Plan Renews On: December 21, 2025
Membership Plan Benefits Include:
| Description | CDT Code | Qty | Value1 | You Pay | ||
|---|---|---|---|---|---|---|
| Professional cleanings | D4910 | 4 | 173.00 | $0 | ||
| Regular exams | D0120 | 2 | 68.00 | $0 | ||
| Oral cancer screening | Once a year | $0 | ||||
| Routine x-rays | Varies | As Needed | 175.00 | $0 | ||
| Emergency exam | D0140 | 1 | 100.00 | $0 | ||
| Total | $1103 | |||||
| Procedure Category | Discount |
| D0000-D0999 (Diagnostic) | 15% |
| D1000-D1999 (Preventative) | 15% |
| D2000-D2999 (Restorative) | 15% |
| D3000-D3999 (Endodontics) | 15% |
| D4000-D4999 (Periodontics) | 15% |
| D5000-D5999 (Removable Prosthodontics) | 15% |
| D6000-D6199 (Implant Services) | 10% |
| D6200-D6999 (Fixed Prosthodontics) | 15% |
| D7000-D7999 (Oral & Maxillofacial Surgery) | 15% |
| D8000-D8999 (Orthodontics) | 15% |
| D9000-D9999 (Adjunctive General Services) | 15% |
Exclusions
This membership plan excludes procedures not listed in the accompanying fee schedule. This membership plan does not cover procedures completed outside of this practice.
Disclosures
- The membership plan is not insurance and is not a qualified health plan under the Affordable Care Act. The membership plan is a direct agreement between you and your dentist. You are electing to make payments directly to your dentist in return for services.
- The membership plan is administered by AmplePlans, LLC (Ample Plans) for your dentist.
- Your dentist has established his or her own membership fees, treatment fees, and terms. Ample Plans does not make payments to dentists for medical services. You pay dentists for medical services and Ample Plans charges dentists fees for use of the Ample Plans platform and administrative services.
- The membership plan includes a 30-day money back guarantee. You can receive a full refund up to 30 days after purchase if no benefits of the plan have been used. Refunds are at your dentist’s discretion if (1) benefits of the plan have been used in the first 30 days, and/or (2) more than 30 days has passed since you purchased the plan.
- The membership plan runs for 12 months and includes an auto renewal feature. You can opt out of the auto renewal at anytime from your online account. You will receive an email reminder 45 days prior to the renewal date.
- Your membership plan payments must be current to receive the services and discounts included in the membership plan.
- Payment for treatment not included in the membership plan is due at the time of service.
- The pricing offered by your dentist may not be combined with any other offers or discounts including insurance coverage.
1Value is calculated by using the fee schedule from your retail office fees.
Plan Summary
Cost of Plan: $295/year
Plan Value: $705/year
Savings: $410/year
Starts on: December 21, 2024
Plan Renews On: December 21, 2025
Membership Plan Benefits Include:
| Description | CDT Code | Qty | Value1 | You Pay | ||
|---|---|---|---|---|---|---|
| Professional cleanings | D1120 | 2 | 88.00 | $0 | ||
| Regular exams | D0120 | 2 | 68.00 | $0 | ||
| Fluoride treatment | D1206 | 2 | 58.00 | $0 | ||
| Routine x-rays | Varies | As Needed | 177.00 | $0 | ||
| Emergency exam | D0140 | 1 | 100.00 | $0 | ||
| Total | $705 | |||||
| Procedure Category | Discount |
| D0000-D0999 (Diagnostic) | 15% |
| D1000-D1999 (Preventative) | 15% |
| D2000-D2999 (Restorative) | 15% |
| D3000-D3999 (Endodontics) | 15% |
| D4000-D4999 (Periodontics) | 15% |
| D5000-D5999 (Removable Prosthodontics) | 15% |
| D6000-D6199 (Implant Services) | 10% |
| D6200-D6999 (Fixed Prosthodontics) | 15% |
| D7000-D7999 (Oral & Maxillofacial Surgery) | 15% |
| D8000-D8999 (Orthodontics) | 15% |
| D9000-D9999 (Adjunctive General Services) | 15% |
Exclusions
This membership plan excludes procedures not listed in the accompanying fee schedule. This membership plan does not cover procedures completed outside of this practice.
Disclosures
- The membership plan is not insurance and is not a qualified health plan under the Affordable Care Act. The membership plan is a direct agreement between you and your dentist. You are electing to make payments directly to your dentist in return for services.
- The membership plan is administered by AmplePlans, LLC (Ample Plans) for your dentist.
- Your dentist has established his or her own membership fees, treatment fees, and terms. Ample Plans does not make payments to dentists for medical services. You pay dentists for medical services and Ample Plans charges dentists fees for use of the Ample Plans platform and administrative services.
- The membership plan includes a 30-day money back guarantee. You can receive a full refund up to 30 days after purchase if no benefits of the plan have been used. Refunds are at your dentist’s discretion if (1) benefits of the plan have been used in the first 30 days, and/or (2) more than 30 days has passed since you purchased the plan.
- The membership plan runs for 12 months and includes an auto renewal feature. You can opt out of the auto renewal at anytime from your online account. You will receive an email reminder 45 days prior to the renewal date.
- Your membership plan payments must be current to receive the services and discounts included in the membership plan.
- Payment for treatment not included in the membership plan is due at the time of service.
- The pricing offered by your dentist may not be combined with any other offers or discounts including insurance coverage.
1Value is calculated by using the fee schedule from your retail office fees.