Patient Information
In-Office Membership Plan
An affordable alternative to dental insurance — designed for our patients.
Overview | Membership Plan
Predictable care, no insurance required
Our in-office membership plan is built for patients without dental insurance who still want consistent preventive care and meaningful savings on additional treatment — no deductibles, no annual maximums, no waiting periods, and no claim forms.
Choose the plan that fits your needs and pay a single flat annual fee. Members also receive a discount on any additional treatment based on our office fee schedule.
Choose Your Plan
Two simple options. Pick the one that fits how often you visit.
Silver Plan
$365per year
- 1 comprehensive exam
- 2 fluoride treatments
- 1 regular cleaning
- Necessary intraoral X-rays
Treatment Discount
Members get 15% off all treatments based on office fee schedule.
Gold Plan
$720per year
- 2 regular exams
- 1 emergency exam
- 2 regular cleanings
- 3 fluoride treatments
- Necessary intraoral X-rays
Treatment Discount
Members get 25% off all treatments based on office fee schedule.
The Fine Print
Terms & Conditions
- This program is offered to individuals and families who do not have insurance or who choose not to utilize their insurance at our office.
- Membership is for one year beginning on the enrollment date.
- Each additional family membership must be paid at the time of the initial membership or at renewal time.
- Membership dues are payable in full upon enrollment. Cash, check, or credit card payments accepted.
- Membership will automatically renew on the anniversary date unless a written request to cancel is received prior to the renewal date. The member gives permission for Yerba Buena Dentistry to process their credit card on the annual renewal date unless written notice to cancel is received prior to the renewal date.
- Annual membership fees may be adjusted annually. Members will be informed of any increase in annual membership fees prior to renewal.
- Members are responsible for notifying Yerba Buena Dentistry of any address or contact changes.
- Missed-appointment fees are ineligible for the membership discount.
- Membership may be terminated at will by written notice from the patient to Yerba Buena Dentistry. Yerba Buena Dentistry may terminate the membership by written notice to the patient when terminating the doctor–patient relationship or discontinuing the membership program.
- Membership benefits are not transferable, have no cash value, and may not be redeemed for cash.
- This is not an insurance plan and is not subject to regulation by the state department of insurance. Plan membership cannot be combined with current dental insurance plans, and no insurance claim will be filed for members under this plan.
- The plan is for individual use only. It is not a group benefit plan.
- Additional dental service fees will be based on the fee on the date of service.
- Fees for dental services may change at any time. Yerba Buena Dentistry retains the right to interpret the program stipulations.
- It is the member's responsibility to schedule and keep all appointments offered as part of the Dental Membership Program. Please notify our office at least 48 hours in advance if you must change a scheduled appointment.
- No deductibles, no pre-authorizations, no yearly maximums, no waiting period. No exclusions for elective care.
Disclaimer
This agreement does not provide health insurance coverage, including the minimal essential coverage required by applicable federal law. It provides only the services described herein. It is recommended that health care insurance be obtained to cover dental services not provided for under this in-office membership care agreement.
Ready to enroll?