Changing one smile at a time…
Please Read Carefully This discount program is NOT a dental insurance policy, health insurance policy, or a Medicare prescription drug plan and does not make payments directly to service providers. Members are obligated to pay for all services. Members will receive discounts on dental services from participating providers and the discount range will vary on provider and dental services received. The program does not constitute minimum creditable coverage under Florida Law or the Affordable Health Care Act. Program is administered by ProActive Dental Solution, a partner of Narducci Dental Group, P.A., (T) 904.998.7000.

Definitions
An “adult member” and /or “adult addition” is defined as any person being eighteen (18) years of age and older at time of enrollment.
A “
child member” and /or “child addition” is defined as any person being seventeen (17) years of age and younger at time of enrollment. A primary child member (in the absence of and adult enrollee), shall be considered an “individual” in terms of the membership fees.

Member Terms and Conditions This program is not insurance. It is a discount membership program offered by ProActive Dental Solution. ProActive Dental Solution is not a licensed insurer, health maintenance organization, or other underwriter of dental health care services. Discounted providers are solely in the practice of dentistry and do not provide medical procedures.
The savings are based upon the provider’s normal fees. Actual savings will vary depending upon the location. Please verify services with each individual provider. The discount herein may not be used in conjunction with any other discount, coupon, voucher, promotion plan or program. All listed or quoted prices are subject to change without notice. Any procedures performed by an outside provider are not discounted. Discounts on professional services are not available where prohibited by law. Treatment may require more than one procedure listed in the treatment plan.
Providers are subject to change without notice. It is the Member’s responsibility to verify that the provider is a participating provider of ProActive Dental Solution. At any time, ProActive Dental Solution has the right to eliminate the provider from the provider network. In the event of the eliminated provider, you will need to select another provider. Providers of ProActive Dental Solution are solely responsible for the professional advice and treatment provided to Members and the ProActive Dental Solution disclaims any liability with respect to such matters. Services and service providers may change or be discontinued at any time without notice.
You agree that you may not amend or modify this Agreement with any restrictive endorsements (such as “paid in full”), or other statements or releases on or accompanying checks or other payments accepted by ProActive Dental Solution and any such notations shall have no legal effect.

Term
The initial term of this agreement is one (1) year commencing on the effective date and shall automatically renew thereafter on a monthly basis, unless either party gives written notice of non-renewal (via mail or email) to the other at least thirty (30) business days, but no more than sixty (60) days prior to the expiration of the current term.

Due Date
If you select to make monthly payments, please note your due date will be exactly one month from your enrollment date for a total of 12 months (i.e. You enrolled on January 15th, your monthly due date would be the 15th of each month). The same date will be used for all month-to month memberships following a one (1) year initial term.

If you elect to pay the initial one (1) year term in full, the due date is the date of enrollment.

Payment Obligations
On your due date, we will deduct your Automatic Pay Plan payment from the payment account you designated. Automatic payments will be debited from your bank account on the payment due date indicated on your pay plan agreement. This will occur even if you elect to make additional payments outside of the Automatic Payment, or request an Automatic Payment amount that is greater than your contracted payment amount. Your Automatic Payment Due date will be your contractual due date.
If Automatic Payments cannot be established as requested, you will be contacted via the phone numbers provided on the application or by e-mail with a brief explanation of any issues. This may cause a delay in set up of your Automatic Payments. You will still be responsible to make payments until automatic payments have been established.
Check with your financial institution to determine if any additional charges for such a debit will apply to your account and ask how it will note descriptions of automatic debits on your statement. If the transaction is refused by your financial institution for any reason, including insufficient funds, closed account, or unauthorized account, we will not be able to process your payment. Your account may be subject to additional charges if your payment is rejected, reversed or refused by your financial institution.
If ProActive Dental Solution receives notice that your Deposit account has been closed or frozen, or is an invalid number, you may be assessed a fee which will be added to your next scheduled payment. You agree to pay all amounts due upon demand.

Changing Contractual Due Date
Please contact ProActive Dental Solution with a written request to change the date of the contractual due date and/or Automatic Payment date.
© 2014 ProActive Dental Solution Contact Me