Terms & Conditions
I understand that I am enrolling myself into SmilePlus®. I understand that SmilePlus is NOT A REGISTERED DENTAL INSURANCE PLAN. I acknowledge that SmilePlus is an exclusive program unique to Coast Dental Services, LLC ("Coast Dental") and can only be used for services at these offices. I may incur out-of-pocket expenses which are due to the provider at the time services are rendered.
I understand the dentist(s) I select as my provider(s) may not perform all dental related services and that the age of patients treated varies by individual dentist. I authorize the dentist who renders services to me under the SmilePlus program, to make available to Coast Dental Services, LLC my dental records, photocopies or information regarding such services to the extent permitted by law.
This site and related services are provided subject to my compliance. My continued use of this site indicates that I agree to be bound by the Terms and Conditions of Use. If I do not agree to be bound by the Terms and Conditions of Use, I will exit this site promptly. Coast Dental may revise and update the Terms and Conditions of Use at any time. It is my responsibility to review the terms, conditions, and privacy statements posted on the Coast Dental website each time I enter the site. Continued use of the Coast Dental website will be considered as acceptance of any changes to the Terms and Conditions. Certain provisions of the Terms and Conditions may be superseded by expressly designated legal notices or terms on particular pages at this site.
1. Binding Agreement Electronic information. I hereby consent to the exchange of information and documents electronically over the Internet or by e-mail, and I understand that this electronically displayed information shall be the equivalent of a written paper agreement. I have the right to receive this agreement in non-electronic form and I may request a non-electronic copy of this agreement either before or after I accept the terms of this agreement. To receive a non-electronic copy of this Agreement, please contact Coast Dental at Coast Dental, 5706 Benjamin Center Drive, Suite 103, Tampa, FL 33634 or info@coastdental.com.
2. Billing I agree to pay Coast Dental all charges pursuant to the fee schedule in effect at the time of service for any dental services provided under the SmilePlus program. I acknowledge that individual procedure prices on the SmilePlus fee schedule are reviewed or amended annually, or more frequently, as needed, or as new services or procedures become available. Coast Dental reserves the right to correct any errors or mistakes that may have been made on billing, even if Coast Dental has already requested or received payment.
3. Renewal I acknowledge that my SmilePlus enrollment does not automatically renew on the anniversary date. I understand that I must renew my SmilePlus membership annually to continue to receive the SmilePlus fee schedule pricing. To terminate your SmilePlus dental plan membership, please call your dental office and request the termination.