Member Terms and Conditions
This program is not insurance. It is a discount membership program offered by Formulated
Dental Plan / CAREINGTON International, Inc. Formulated Dental Plan / CAREINGTON are not
a licensed insurer(s), health maintenance organization(s), or other underwriters of health
care service(s). No portion of any provider's fees will be reimbursed or otherwise paid by
Formulated Dental Plan / CAREINGTON. Formulated Dental Plan / CAREINGTON is not licensed to
provide and does not provide medical services or items to individuals. Formulated Dental
Plan owns the data it collects from you, and as such, may share such information with
third parties.
Savings are based upon the provider's usual and customary fees. Actual savings will vary
depending upon location and specific services or products purchased. Please verify such
benefits with each individual provider. The discounts contained herein may not be used in
conjunction with any other discount plan or program. All listed or quoted prices are
current prices by participating providers and subject to change without notice. Any
procedures performed by a non-participating provider are not discounted. From time to time,
certain providers may offer products or services to the general public at prices lower
than the discounted prices available through this program. In such event, members will be
charged the lowest price. Discounts on professional services are not available where
prohibited by law. This plan does not discount all procedures. Any procedure delivered
which is not listed on the Schedule of Services may cause additional cost to be incurred
by the member. The dollar amount specified adjacent to each procedure may not be the only
cost incurred for a given treatment because the treatment may require more than one
procedure. Specialist care may not be available in all areas. In cases in which you are
referred to a participating dental specialist, you will generally receive 20% off their
usual and customary fees. Some providers may charge for missed or broken appointments if
no prior notice is given.
Providers are subject to change without notice and benefits may vary in some states. It is
the member's responsibility to verify that the provider is a participant in the plan. At
any time Formulated Dental Plan / CAREINGTON has the right to eliminate a Participating
Professional from the respective network in which they are associated. Formulated Dental
Plan / CAREINGTON International cannot guarantee the continued participation of any
provider. If he or she leaves the plan, you will need to select another provider.
Providers contracted by Formulated Dental Plan / CAREINGTON are solely responsible for the
professional advice and treatment rendered to members and Formulated Dental Plan /
CAREINGTON disclaims any liability with respect to such matters. Benefits and benefit
providers may change or be discontinued at anytime without notice.
Work in progress, after enrollment on the plan, must be completed by the provider who
started the work.
You have 45 days from the time of enrollment to use the plan risk-free. If for some reason
within 45 days you are dissatisfied with the plan and wish to cancel, please send a
cancellation letter with your name and member number to Member Services, Formulated Dental
Plan 5900 S. Lake Forest, Suite 300, McKinney, TX 75070.
By enrolling for a plan, you are authorizing Formulated Dental Plan to bill your credit
card or checking account for the plan you have selected as frequently as required to
collect any amounts owing Formulated at a given time. This charge shall remain in
force until the last day of the following month in which you notify Formulated Dental Plan
in writing of its cancellation. Each time your credit card company or bank denies payment,
a charge of ten dollars shall be assessed. Services available under this plan may be
suspended during any period of time in which your balance is past due. By enrolling, you
are agreeing to the terms and conditions of the plan and adopting it for a minimum of one
year. An early termination shall result in the remaining balance of payments to
complete the minimum period becoming immediately due. This plan will automatically
renew at the end of your membership term, and your credit card or bank account will be
automatically charged or drafted for the appropriate amount.
Formulated Dental Plan, LLC ,the program and its administrators have no liability
for providing or guaranteeing service or the quality of service rendered. Note
to Utah residents: This contract is not protected by the Utah Life and Health
Guaranty Association.