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Note:

^†At select participating Tier 1 dental providers
^‡Source: American Dental Association, Survey Center, 2022 Survey of Dental Fees

THIS DISCOUNT PLAN IS NOT HEALTH INSURANCE. THIS PLAN DOES NOT MEET THE MINIMUM CREDITABLE COVERAGE REQUIREMENTS UNDER M.G.L. C.111M AND 956 CMR 5.00. THIS PLAN IS NOT A QUALIFIED HEALTH PLAN UNDER THE AFFORDABLE CARE ACT. THE PLAN PROVIDES DISCOUNTS AT CERTAIN HEALTH CARE PROVIDERS FOR MEDICAL SERVICES. THE PLAN DOES NOT MAKE PAYMENTS DIRECTLY TO PROVIDERS OF MEDICAL SERVICES. MEMBERS ARE REQUIRED TO PAY FOR ALL HEALTH CARE SERVICES AT THE TIME THE SERVICES ARE PERFORMED BUT WILL RECEIVE A DISCOUNT FROM CONTRACTED PROVIDERS. A LISTING OF PARTICIPATING PROVIDERS VIEWED ONLINE OR BY CALLING MEMBER SERVICES AT (855) 577-1611. A WRITTEN LIST OF PARTICIPATING PROVIDERS IS AVAILABLE BY REQUEST. THIS PLAN IS NOT AVAILABLE IN ALL STATES. DISCOUNT MEDICAL PLAN ORGANIZATION: PATRIOT HEALTH FLORIDA, INC., LOCATED AT 2540 METROCENTRE BLVD, SUITE #5, WEST PALM BEACH, FL 33407; PHONE (855) 577-1611.

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