In conjunction with another dental plan or offer – For services covered under worker compensation – For treatment which, In sole opinion of the treating dentist, Lies
outside the realm of their capability – For referrals to specialists – For hospitalization or hospital charges – For cost of dental care which is covered under auto medical. This
plan is only covered at the office of Inspired Dental. It can not be used at any other office. THIS PLAN IS NON-REFUNDABLE. No refunds or premiums will be issued at any
time if participant decides not to utilize dental plan. The 12-month membership is due in full upon joining. Membership is effective on the day on which payment is
received. Payment is due when services are rendered. It is the sole responsibility of the member to maximize benefits by arranging the appropriate appointments within
the 12 months membership period. If the appointments are not used, the member will not be entitled to a refund. Renewal payment is due the beginning of the same
month of original joining each year. Membership rates may be reviewed and adjusted on an annual basis with notification. Membership plan excludes Panoramic and
Cone Beam X-Rays.