Washington D.C. Dental Plan

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Washington D.C. Dental Plan

$38.50 includes 1st month and $20.00
processing fee

Applying online to individual and group dental plans in WA is easy and takes just a few minutes. Applying online to Washington D.C. dental plans is safe and secure, or you can choose to print the application and mail it to us. Either way you have our promise that we will activate your membership immediately after we receive your completed application and payment. Sign up to one of our dental plans in Washington D.C. today!

ATTENTION!: Please search for local dentists to see if a dentist participates within your area before enrolling.

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Category:

Avia Dental Plan® — Annual Payment Options

Individual

$10900annual

Individual +1

$15400annual

Family (3 or More)

$16900annual

Avia Dental Plan® — Monthly Payment Options

Individual

$925monthly

Individual +1

$1325monthly

Family (3 or More)

$15monthly

*Initial Payment includes $20 non-refundable processing fee and 1st month payment.

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Plan 102 AVIA SCHEDULE OF DENTAL SERVICES | Effective January 1, 2024 | THIS IS NOT AN INSURANCE PLAN | All procedures performed by General Dentists.


Procedure

National Average Fee

Avia Members Pay

DIAGNOSTIC
Periodic Oral Exam- Established Patient $70.00 $18.00
Limited Oral Exam-Problem focused $101.00 $25.00
Comprehensive Oral Exam- New or established patient $115.00 $25.00
Full Mouth X-rays Intraoral-complete series, including bitewing $180.00 $50.00
Intraoral-periapical-first film $40.00 $13.00
Intraoral-periapical-each additional film $33.00 $10.00
Bitewing X-rays-two films $60.00 $17.00
Bitewing X-rays-three films $70.00 $23.00
Bitewing X-rays-four films $85.00 $27.00
Panoramic X-ray $155.00 $48.00
PREVENTIVE
Prophylaxis-Adult Cleaning (includes scaling and polishing) $122.00 $38.00
Prophylaxis Child Cleaning (includes scaling & polishing) $90.00 $30.00
Sealant- per tooth $72.00 $26.00
Space maintainer-fixed, unilateral-per quad $398.00 $120.00
Space maintainer-fixed-bilateral, maxillary $525.00 $190.00
RESTORATIVE
Amalgam-one surface, primary or permanent $194.00 $50.00
Amalgam-two surfaces, primary or permanent $239.00 $68.00
Amalgam-three surfaces, primary or permanent $290.00 $78.00
Amalgam-four or more surfaces, primary or permanent $345.00 $90.00
Resin-based composite-one surface. anterior $220.00 $65.00
Resin-based composite-two surfaces, anterior $265.00 $78.00
Resin -based composite-three surfaces, anterior $320.00 $95.00
Resin-based composite- four or more surfaces-anterior $390.00 $125.00
Resin-based composite-one surface-posterior $240.00 $83.00
Resin- based composite-two surfaces-posterior $305.00 $118.00
Resin- based composite-three surfaces-posterior $372.00 $140.00
Resin- based composite-four or more surfaces-posterior $435.00 $175.00
Crown-resin/Ceramic $1,495.00 $595.00
Crown-porcelain fused to high noble meta $1,500.00 $595.00
Crown-porcelain fused to noble metal $1,410.00 $575.00
Recement or re-bond Crown $152.00 $48.00
Crown-prefabricated stainless steel, primary $350.00 $115.00
Crown-prefabricated stainless steel, permanent $414.00 $135.00
Protective restoration $163.00 $47.00
Core buildup, including pins $357.00 $115.00
Post and core, in addition to crown, indirectly fabricated $506.00 $180.00
Prefabricated post and core in addition to crown $432.00 $145.00
ENDODONTICS
Pulp cap-direct (excluding final restoration) $112.00 $28.00
Pulp cap-indirect(excluding final restoration) $112.00 $28.00
Therapeutic pulpotomy (excluding final restoration) $267.00 $65.00
Endodontic Therapy – Anterior Root Canal (excluding final restoration) $1,007.00 $350.00
Endodontic Therapy – Premolar Root Canal (excluding final restoration) $1,154.00 $420.00
Endodontic Therapy – Molar Root Canal (excluding final restoration) $1,415.00 $535.00
PERIODONTICS
Gingivectomy or gingivoplasty-per quad $839.00 $350.00
Periodontal scaling & Root planing-per quad $340.00 $120.00
Periodontal maintenance $188.00 $80.00
PROSTHODONTICS
Complete denture-Maxillary $2,297.00 $750.00
Complete denture Mandibular $2,297.00 $750.00
Partial denture-Maxillary-resin base $1,800.00 $690.00
Partial denture -Mandibular- resin base $1,808.00 $690.00
Replace missing or broken teeth (each tooth) $255.00 $65.00
Add tooth to existing partial denture $297.00 $70.00
Add clasp to existing partial denture $350.00 $85.00
Reline complete Maxillary denture (chairside) $497.00 $157.00
Reline complete Mandibular denture (chairside) $496.00 $157.00
Reline complete Maxillary denture (lab) $610.00 $200.00
Reline complete Mandibular denture (lab) $603.00 $200.00
Pontic-cast high noble metal $1,450.00 $530.00
Pontic-porcelain fused to high noble metal $1,458.00 $530.00
Retainer Crown-porcelain fused to high noble metal $1,487.00 $565.00
ORAL AND MAXILLOFACIAL SURGERY
Simple Extraction- erupted tooth or exposed root $250.00 $63.00
Extraction, erupted tooth, requiring removal of bone $375.00 $140.00
Removal of impacted tooth, soft tissue $413.00 $145.00
Removal of impacted tooth, partially bony $534.00 $180.00
Removal of impacted tooth, completely bony $645.00 $250.00
Surgical Removal of residual tooth roots (cutting procedure) $396.00 $138.00
Alveolplasty- in conjunction with extractions (per quad) $420.00 $115.00
Alveolplasty- not in conjunction with extractions (per quad) $599.00 $165.00
ORTHODONTICS
Comprehensive Orthodontic treatment of the transitional dentition $6,410.00 25% off normal fees
Comprehensive Orthodontic treatment of the adolescent dentition $6,125.00 25% off normal fees
Comprehensive Orthodontic treatment of the adult dentition $6,380.00 25% off normal fees
GENERAL
Pallative (emergency) treatment $170.00 $42.00
Local Anesthesia $75.00 $16.00
Analgesia-Nitrous oxide $100.00 $27.00
*These National Average Fees are based on the 80th percentile of the survey of dental fees for 2022. Member is responsible for all charges at the time of service. This entire fee schedule is for participating Avia Dental General Dentists only. Cosmetic and any other procedures not listed are 25% off the provider’s normal fee. Some fees may vary where unusual services and/ or materials are required. Please discuss all fees with dentist prior to treatment. Lab fees are additional. Fees schedules are subject to change without prior notice to members. Be sure to verify that a dentist is a participating Avia provider before seeking treatment. Avia cannot guarantee the continued participation of any dentist. If dentist leaves plan, you will need to select another participating provider. Any dental procedures performed by a non participating dentist are charged dentist’s normal fees. Not all types of dentists may be available in your area. Avia does not guarantee the quality of service of the providers.
Participating Specialists do not charge according to this fee schedule. Avia Members receiving treatment from any participating specialists including Oral surgeons, Orthodontists, Periodontists, Pediatrics, Pedodontists, Prosthodontists and Endodontists will receive a 25% discount off their normal fees.
THIS IS NOT AN INSURANCE PLAN

Prescription Drug Discount Program

Are you looking for affordable prescription plans? Membership in one of Avia Dental’s Affordable Dental Health Plans also entitles you to all the benefits of our discount prescription drug program. You enjoy special discounts on prescription drugs plus extra savings on select medications for common health conditions as well as high tech and injectable drugs. What’s more, you can use your drug card any time your prescription is not covered by your other plan.

With the cost of prescription drugs rising, now’s the time to discover the advantages of an affordable discount prescription plan.


With the Avia Dental, Prescription Drug Discount Program, you benefit from:

  • Average savings of 20% and even more on generic drugs
  • Access to over 59,000 participating pharmacies nationwide including most major chains
  • Unlimited use
  • No restrictions
  • No claim forms to complete
  • Extra savings when you use our mail order program


Click here to search for participating Pharmacies
  |  Click here to Check Drug Cost


 

Discounts not available from Illinois Providers

This is NOT insurance. Discounts are only available at participating pharmacies. By using this card, you agree to pay the entire prescription cost less any applicable discount. Savings may vary by drug and by pharmacy. Savings are based on actual 2013 drug purchases for all drug discount card programs administered by CVS Caremark located in Woonsocket, RI. The program administrator may obtain fees or rebates from manufacturers and/or pharmacies based on your prescription drug purchases. These fees or rebates may be retained by the program administrator or shared with you and/or your pharmacy. Prescription claims through this program will not be eligible for reimbursement through Medicaid, Medicare or any other government program. This program does not guarantee the quality of the services or products offered by individual providers. We do not sell your personal information. Call the member toll-free number on the back of your ID card to file a complaint related to this program. Note to Texas Consumers: You may contact the Texas Department of Insurance if you remain dissatisfied after completing this program’s complaint process.

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Avia Vision Plan

Enjoy savings off the retail price of eyeglass frames and lenses, contact lenses and eye exams from more than 30,000 providers nationwide at leading optical retailers such as Pearle Vision, LensCrafters, Sears Optical, Target Optical, JCPenney Optical and many more including access to independent Optometrists, Ophthalmologists, and Opticians. Also receive 15% off the retail price or 5% off the promotional price of LASIK or PRK procedures with our discount vision plans.


Sample Vision Savings

Vision Care Services

Member Cost

Exam with Dilation as Necessary $5 off routine exam
$10 off contact lens exam
Complete Pair of Glasses Purchase*: frame, lenses and lens options must be purchased in the same transaction to receive full discount.
Standard Plastic Lenses:
Single Vision $50
Bifocal $70
Trifocal $105
Frames: 35% off retail price
Any frame available at provider location
Lens Options:
UV Coating $15
Tint (Solid and Gradient) $15
Standard Scratch-Resistance $15
Standard Polycarbonate $40
Standard Progressive(Add-on to Bifocal) $65
Standard Anti-Reflective Coating $45
Other Add-Ons and Services 20% discount
Contact Lens: 15% off retail price
(Discount applied to materials only)
Conventional
Laser Vision Correction**:  15% off retail price – or –
Lasik or PRK 5% off promotional price
Frequency:
Examination Unlimited
Frame Unlimited
Lenses Unlimited
Contact Lenses Unlimited

For additional information or to locate a provider please visit www.eyemedvisioncare.com or call member services at 1-866-723-0391. Be sure to reference your group # located on your membership card. Items purchased separately will be discounted 20% off of the retail price. Discounts not available from Illinois Providers.


THIS IS NOT INSURANCE

**Since Lasik or PRK vision correction is an elective procedure, performed by specially trained providers, this discount may not always be available from a provider in your immediate location. For a location near you and the discount authorization, please call l-877-5LASER6. Member will receive a 20% discount on those items purchased at participating Providers that are not specifically covered by this Discount design. The 20% discount may not be combined with any other discounts or promotional offers, and the discount does not apply to EyeMed Provider’s professional services, or contact lenses. Retail prices may vary by location.

LIMITATIONS/ EXCLUSIONS:

  • Orthoptic or vision training, subnormal vision aids, and any associated supplemental testing, Medical and/or surgical treatment of the eye, eyes, or supporting structures
  • Corrective eyewear required by an employer as a condition of employment, and safety eyewear unless specifically covered under plan
  • Services provided as a result of any Worker’s Compensation law
  • Discount is not available on those frames where the manufacturer prohibits a discount

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Product Description

Save Money in Washington, D.C. with an Avia Dental Plan®

Dental costs are at an all time high, especially if you have a family. Everyone can get a dental discount plan from Avia and save money. We offer four affordable dental plans from which to choose: individual, family, group, and senior.

When you apply for an Avia Dental Plan® in Washington, D.C. you will be accepted – we guarantee it. To make things even easier, you can use your discount right away. There’s no waiting period. Another great advantage is that you can use your savings every time you go to the dentist. Avia does not limit the number of visits you can make in a year.

Receive low cost dental in Washington, D.C. at a price that’s really affordable – just a few dollars a month. In addition you get prescription drug and vision discounts at no extra charge. Affordable dental care is yours. Sign up today for an Avia Dental Plan® and start saving 50% on your dental costs.