Comprehensive Dental Plan

The Mortenson Family Dental Comprehensive Dental Plan is designed to provide affordability and greater access to quality dental care. Your benefits are available at any Mortenson Family Dental location. Download the application form or get more information below.

Family. Friendly. Affordable.

With your Comprehensive Dental Plan there are:

  • No yearly maximums
  • No deductibles
  • No claim forms
  • No pre-authorization requirments
  • No pre-existing condition limitations
  • Immediate eligibility (no waiting periods)

Benefit Premiums

Total Annual Cost
Single $ 227.00
Dual* $ 439.00
Family* $ 698.00

*The Dual Plan is for Parent/Child or Husband/Wife only.

**The Dual Plan and Family Plan includes children who are enrolled full-time in college until age 25, or children who are not enrolled full-time in college until age 18.

Family Dental

Coverage Tables

Diagnositc & X-RAYS

Treatment Member Discount
Comprehensive Exam
(new patient, initial exam)
100%
Periodic Exam (2 per yr) 100%
Limited Oral Exam
(Problem Focused — 1 per yr)
100%
Intraoral—Complete Series or Panorex
(1 every 3 yrs)
100%
Intraoral—Periapical, First Film 100%
Intraoral—Periapical, Each Additional Film 100%
Intraoral—Occlusal Film 100%
Bitewings (1 per yr) 100%

Preventive

Treatment Member Discount
Child Prophylaxis
(cleaning)(2 per yer)/(after $5 co-pay)
100%
Adult Prophylaxis(cleaning)(2 per yer)/(after $5 co-pay) 100%
Fluoride
(1 per yr, no age limit)/(after $5 co-pay)
100%
Sealants 50%
Space Maintainers 50%

All Other Procedures

Treatment Member Discount
Bleaching 25%
Fillings 25%
Crowns 25%
Periodontics (General Dentistry) 25%
Dentures and Partials 25%
Oral Surgery(limited to extractions including third molar) 25%
Root Canals 25%

Program Exclusions & Limitations

This program is a discount plan, not a dental insurance plan.

It cannot be used:

  • In conjunction with another dental plan
  • For services for injuries covered under workman’s compensation
  • For treatment which, in sole opinion of the treating dentist or doctor, lies outside the realm of their capability
  • For referrals to specialists
  • For hospitalization or hospital charges of any kind
  • For costs of dental care which is covered under automobile medical

 

This plan is only honored at Mortenson Family Dental locations.

Program Guidelines

  • There will be a $50 reinstatement fee if your plan lapses.
  • Cannot be used in conjunction with another dental plan.
  • NON-REFUNDABLE.
  • No refunds or premiums will be issued at any time if participant decides not to utilize dental plan.

 

Patient’s portion of bill is due on the day of service.

Call (502) 244-9595
to make an appointment

Online appointment request are unavailable at this t ime.

Please call one of our offices to make an appointment.