Plan Cost Information

Gold Plan 15
  Monthly Annual* Annual Discount
Individual $7.95 $95.40 $0.00
Individual +1 $11.95 $143.40 $0.00
Family $15.95 $191.40 $0.00

One Time Non-Refundable Processing Fee:

Monthly: $45.00

Annual: $45.00

* Discount Already Applied

Plan Cost Information

Patriot Health accepts the following payment types:
Credit Cards Accepted: Visa, Mastercard, American Express and Discover
Initial Payment Options Ongoing Payment Options
Monthly Credit Card Monthly Credit Card
Annual Credit Card Annual Credit Card
Monthly E-Check Monthly E-Check
Annual E-Check Annual E-Check
Your payment will be processed as follows
Credit Cards Accepted: Visa, Mastercard, American Express and Discover
Initial Payment Options
Monthly Credit Card Processed within 2 (two) business days
Annual Credit Card Processed within 2 (two) business days
Monthly E-Check Processed within 2 (two) business days
Annual E-Check Processed within 2 (two) business days
Ongoing Payment Options
Monthly Credit Card Processed on the same business day each month as your effective date
Annual Credit Card Processed on the same business day each year as your effective date
Monthly E-Check Processed on the same business day each month as your effective date
Annual E-Check Processed on the same business day each year as your effective date

Cancellation Policy

I am enrolling in the Patriot Health Dental Plan, which entitles me to utilize any dentist listed in the Directory. The rates, which a Directory Dentist will charge are the rates available to me as part of my enrollment in the Patriot Health Dental Plan. I have 30 days from my effective date to provide written cancellation and receive a full refund of membership fees. If the services have been used and a dentist has been visited the 30-day cancellation period is considered null and void. If you cancel, any payments made by you under the contract of sale, will be credited to your account within 48 hours of receiving your cancellation notice. Processing fees are specifically non-refundable.