Membership Agreement

DR REBECCA A. HAVEL DDS, SC SMILE AND SAVE MEMBERSHIP AGREEMENT

The Smile and Save Membership provided by Dr. Rebecca A. Havel DDS, SC, is designed to provide affordability and greater access to quality dental care. Providing a Wellness Membership Plan is a viable option to conventional dental insurance and the limits that are associated with dental insurance reimbursement, as well as the often disappointing expectations associated with that reimbursement.

Our plan is simple. The yearly benefit premium for an Adult is $299 (BASIC) of $399 (PERIO). The premium for a child age 14 and under is $199. The annual cost covers two cleanings, any cavity detection x-rays and two periodic exams done at the time of the cleanings. All other procedures are performed at a 15% discount. Retail items (i.e. toothbrushes, at-home whitening products, periodontal products, etc.) are not included in the discount.

Benefits are only available at Dr. Rebecca A. Havels Green Bay and Algoma locations. This program is a discount plan and cannot be used in conjunction with conventional dental insurance. Please refer to the details on the drhavel.com website.

The Membership fee must be paid in full before membership benefits may be used. If the participant does not utilize the membership benefits or enrolls in a Dental Insurance plan subsequent to their enrollment in the Membership Plan, no refunds will be issued or carried over into the next renewal year. The patient’s portion of any bill is due on the same date the service is rendered.

Participation begins on the date you pay the membership premium and is good for one year from that date. You will be notified of the renewal date approximately one month before your one-year anniversary date for a new year of participation in the membership plan for the following year.

7.17.2023