Your Coverage Agreement with Patients

Complete continuing care (hygiene) visits as prescribed – at least every 8 months (6 months with a 2 month grace period)
Keep account current
Notify dentist/practice of any issue within a reasonable time after discover – not to exceed 7 days
- Patient’s failure to provide timely notification, or failure to appear for a scheduled appointment to address an issue is grounds for voiding coverage
- Rescheduling is permitted if required by patient or practice

Provide maintenance services (repair, replace, or re-treat) at no charge to the patient, whether or not you are eligible to be reimbursed by Dental Warranty via a claim, subject to the following limitations and exceptions:
- Value of warranty is limited to the original treatment cost covered, as reflected in the coverage’s remaining value
- Coverage may be deemed void by practice if patient fails to keep up with their responsibilities
Services provided beyond remaining value of coverage may be billed to the patient
Services required due to issues/failure within first 90 days without external trauma (First 90 Days Rule) may not be billed to the patient – no claim is filed and coverage continues for remaining term

If your patient has moved away or is traveling such that they cannot reasonably return to you for care, the coverage may be redeemed with any dentist with your consent
Your agreement with patients states a specific distance requirement of 100 or more miles. This is not a requirement in place to limit patients from utilizing their coverage, rather a parameter to discourage patients from leaving unnecessarily to see another practice within your local area.

If a patient requests cancellation and a refund, your practice may cancel if within 7 months of the covered treatment date.
Upon cancellation, Dental Warranty will refund the amount originally billed to the practice.
You are responsible to refund the amount paid by the patient to your practice for coverage.
After 7 months from the treatment date, no refunds will be available from Dental Warranty to the practice.
It is best practice to obtain a signed consent or request to cancel coverage from your patient in order to maintain clear communication and expectations