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Beneficios/Benefits

* Normal cost is based on the national average of the 80th percentile usual and customary rates as detailed in the 2015 FairHealth Report in statistical areas.
** Prices subject to change each year.

CODE DESCRIPTION  PLAN COST  NORMAL COST  SAVINGS
D0120 Evaluacion Oral Inicial – Periodic Oral Evaluation  Sin Costo-No Cost  $    50.00  $    50.00
D0274 Rayos X Digital – 1 Set- Digital X-Rays – 1 Set  Sin Costo-No Cost  $    66.00  $    66.00
D1110 Limpieza Normal – Normal Cleaning  $               25.00  $    97.00  $    72.00
D1111 Limpieza Profunda – Deep Cleaning  $             180.00  $    350.00  $  170.00
D2160 Relleno – Resina Compuesta – Composite Resin (Fillings)  $               25.00  $    75.00  $    50.00
D2750 Corona-Porcelana – Crown Porcelain  $             180.00  $   1,125.00  $  945.00
D2751 Corona-Circonia – Crown Zirconia  $             380.00  $   1,650.00  $ 1,270.00
D3330 Root Canal  $             180.00  $   1,035.00  $ 855.00
D2952 Poste – Ceramica – Post and core – Ceramic  $               80.00  $    220.00  $ 140.00
D6973 Puente Permanente – Ceramica – Bridge – Ceramic  $             175.00  $    350.00  $ 75.00
D7130 Extraccion de Diente – Extraction of Tooth  $               35.00  $    125.00  $ 90.00
D7131 Extraccion con Cirujia – Wisdom Tooth Surgery  $              100-$250  $    450.00  $ 55-$200
D5110 Placa completa – Complete Denture – Maxillary  $             400.00  $    850.00  $ 450.00
D5111 Placa Completa – Complete Denture – Mandibular  $             400.00  $    850.00  $ 450.00
D8090 Braces Normales – $250 pago inicial -$250 initial payment $             45 por mes  $   4,850.00  $ 800-$1500
D8091 Invisalign  Express Braces  $          2,200.00  $   3-$5, 000.00  $800-$2500
** Otros servicios no enumerados en esta lista obtendran 25-50% de descuento del precio normal ** Other services not listed will receive a 25-50% discount of normal cost

Plan Cost

Plans for Monthly
Individual $14.99
Plus One $24.99
Family $29.95

* One time Non Refundable Processing fee: $9.99
* The stated rates above include a one dollar ($1) per month billing fee.
* Rates are guaranteed for a 12 month period, at which time rates may be subject to change. After your first renewal, the rates will be guaranteed for 12 months each year thereafter.

*Plan coverage is valid from January to December of the month in which you enroll. Subject to change year after year.

Methods of Payment

Plan Highlights

* Los miembros de Dental Mazon pueden tomar ventaja de los grandes ahorros sin minimizar el profesionalismo y eficiente servicio dental.
* Dr. Mazon cuenta con credentiales dentales que lo acreditan para realizar todo tipo de trabajo dental para adultos y niños.
* Dental Mazon esta situado a corta distancia de la linea fronteriza haciendo la visita mas eficiente.
* Haorros del 30% – 80% en comparacion con los precios en Estados Unidos.

Plan Disclosures

ESTE PLAN NO ES ASEGURANZA. ESTE PLAN NO ES PLAN DE MEDICAMENTOS DE MEDICARE. *
THIS PLAN IS NOT INSURANCE. THIS IS NOT A MEDICARE PRESCRIPTION DRUG PLAN.*
  • Este plan no llena los requisitos de las coberturas minimas creditables bajo M.G.L.c. 111M and 956 CMR 5.00.
  • This plan does not meet the minimum creditable coverage requirements under M.G.L. c. 111M and 956 CMR 5.00.
  • Este plan provee descuentos en servicios dentales SOLO en Dental Mazon en Mexicali, BC, Mexico. No cubre en Estados Unidos o otro pais. Otros proveedors se agregaran en un futuro.
  • The plan provides discounts at Dental Mazon in Mexicali, BC, Mexico ONLY not in the United States or any other country. Other providers will be added as they become available.
  • Los miembros del plan estan obligados a pagar por los servicios dentales pero reciviran el descuento de Dental Mazon basado en los costos del plan.
  • Plan members are obligated to pay for all dental care services but will receive a discount from Dental Mazon based on plan discounted rates.
  • Usted tiene el derecho de cancelar su plan dentro de 30 dias de que se inscriba y recivira en credito completo, menos el cargo por procesar la cancelacion de $9. 99.
  • You have the right to cancel within the first 30 days after enrolling and receive a full refund, less a nominal processing fee of $9. 99.
  • Entidad a cargo de La Administracion del plan: RAG Consulting, LLC, 49613 Cesar Chavez Blvd., B203, Coachella, CA 92236. Telefono: 760-398-1745
  • Discount Dental Plan Organization and administrator: RAG Consulting, LLC, 49613 Cesar Chavez Blvd., Suite B203, Coachella, CA 92236; phone 760-398-1745.
  • El plan y sus administradores no tienen ninguna responsablilidad de garantizar que Dental Mazon o otro provedor a futuro proveea la calidad del servicio esperado.
  • The program and its administrators have no liability for providing or guaranteeing service by Dental Mazon and subsequent providers or the quality of service rendered by providers.
  • En caso de que Dental Mazon o algun proveedor a futro no proveyera los servicios o descuentos , puede requerir cancelacion y se le devolvera cualquier pago mensual de la membresia.
  • In the event that Dental Mazon or any subsequent providers do not render the services and/or discounts, full refund will be given to clients for any monthly fees incurred.

Preguntas Frequentes -- Frequently Asked Questions

Este plan es seguro dental? Is this an insurance plan?

No, este no es plan de seguro dental. El plan Dental Mazon le provee precios de descuento en servicios dentales y productos; usted debe de pagar por los servicos al precio de

No, this is not an insurance plan. Dental Mazon plan provides you with discounted prices on Dental services and products; you will pay for services at the discounted price at the time services are received. descuento al momento del servicio.

Como funciona este plan? How does the savings plan work?

Haorrar en sus servicios dentales es facil solo llame a la oficina del Dental Mazon de Estados Unidos (01152-686-119-0538) de Mexico (686-119-0538) para agendizar su cita. Muestre su membresia al llegar a su cita. Usted paga directamente a Dental Mazon por los costos basados en el Plan Dental Mazon.

Saving money on health care expenses is easy. First, you need to call Dental Mazon from USA dial (01152-686-119-0538) from Mexico (686-119-0538) members just show their membership card at the time of service. Members are responsible for paying all fees directly to the provider based on Plan Dental Mazon.

Puedo incluir dependientes en este plan? Can I include dependents on my plan?

Si, esto es lo bueno de este plan de ahorros ya que puede incluir a toda su familia, incluyendo a los que viven en el colegio!

Yes, one of the wonderful features of our savings plans is that your entire household can receive the discounts, even children living at college!

Puedo usar este plan aunque tenga otro seguro dental? Can I use this plan even if I already have insurance?

Si, este plan no remplaza ni cancela su plan existente ya que es solo par usarse en Dental Mazon en Mexicali, BC, Mexico.

Yes, this plan does not replace nor does it cancel your existing dental plan since it is only to be used at Dental Mazon in Mexicali, BC, Mexico.

Cuanto tiempo debo de esperar para que se active mi membresia? How long will it take me to get into the system after I sign up?

Despues de hacer su pago inicial, recivira su tarjeta de membresia. La cobertura empezara el primero del mes siguiente. Los pagos recurrentes seran el primero de cada mes.

After you purchase the plan, the coverage begins the 1st of the month after and the 1st of every month the recurring payments will be withdrawn.

Con quien me comunico si tengo preguntas sobre cobro de mi membresia y como cancelar? Who do I call for billing questions or how to cancel my membership?

Puede llamar a RAG Consulting, LLC, 760-398-1745.

You can call RAG Consulting, LLC at 760-398-1745.

Cuando sacaran mi primer pago? When will my first payment be taken?

El pago inicial de $9.99 sera tomado el dia de la inscripcion y el pago de su membresia cada primero del mes que sigue.

The initial set up payment of $9.99 will be taken on the day of the enrollment and your first month’s payment will be taken on the first of the following month. 760-398-1745.

Recivire una notificacion de renovacion annual? Will I receive an annual renewal notice?

No. Ya que este inscrito, el plan continuara vigente a menos que usted mande una notificacion de cancelacion. Todas las cancelaciones requieren 30 dias de previo aviso

Favor de enviar su cancelacion por correo electronico a: plandentalmazon@gmail.com o por fax al: (760)398-1760

No. Once enrolled, the plan will continue unless you send a cancellation notice. All cancellations require a 30 day notice via email to: plandentalmazon@gmail.com or by fax to: (760) 398-1760

Que espero que mi estado de cuenta diga cuando se cobre mi membresia? What should I expect to see on my Bank/Credit Card Statement for my premium payments?

Insurance will appear on your statement as the charge for your premiums Dental Mazon

Que puedo hacer si siento que me cobraron de mas o necesito hacer una?What do I do if I feel the provider overcharged me or need to file a complaint? queja?

Usted puede hacer fax, eviar correo electronico, enviar por correo una copia de su recibo al administrado del plan RAG Consulting, LLC. Ellos investigaran su caso y se comunicaran con usted sobre el resultado.

You can fax, email, mail a copy of your bill and a written letter to the administrator of the plan, RAG Consulting, LLC. They will investigate your inquiry, and you will be contacted regarding the findings.

Cual es la informacion de contacto del administrado del plan? What is the plan administrator’s contact information?

Address: RAG Consulting, LLC, 49613 Harrison St., B203, Coachella, CA 92236

Phone number: (760)398-1745 Fax Number: (760)398-1760 Email address: plandentalmazon@gmail.com

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