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Savings Examples

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Savings Examples and Fee Schedules

As a Care4Neighbors Member, you will receive substantial savings on healthcare services and prescription drug costs.

See Special August Savings

Dental Care:

Services such as check-ups, x-rays, cleanings, tooth-whitening, crowns, dentures and fillings are discounted to Members by as much as 85% off Usual & Customary fees. This can save you and your family $100s each year - just look at these sample savings:  

 

With

Care4Neighbors

Usual & Customary *

Savings

Exam & X-Rays

4-Bite Wings, Codes 150 & 274

$20
$117

$97

83%

Exam & Full Intra-Oral Series X-Rays

Codes 150 & 210
$55
$171

$116

68%

Cleaning - Children and Adults

Codes 1110 or 1120

$45
$74

$29

39%

Crowns - Porcelain & High Nobel Metal

Code 2750 (inclusive of all lab work)

$695
$906

$211

23%

Dentures - Complete Upper

Code 5110 (inclusive of all lab work)

$940
$1272

$332

26%

Root Canal - Molar

Code 3330  

$775
$856

$81

9%

Deep Cleaning - Periodontal Scaling and Planing

Per quad, Code 4341

$175
$209

$34

16%

*Usual & Customary Fees, as reported by the National Dental Advisory Service, as of April 2006, for Broward County (Pompano Beach) Florida, for the 50% and 60% percentiles (i.e., average amounts charged in this area). U&C Fees vary based on provider and locations of practice. 

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Braces, oral surgery and other dental specialties are discounted 25% off Usual & Customary fees.

Prescription drugs:

Pharmacy discounts run from 15% to 55% on most medications and many drugs are discounted even higher. To check the discounted prices you will pay at your pharmacy with a Care4Neighbors Card, please click the link below. You will be connected to our Pharmacy Benefits partner, RxAmerica. Check Drug Pricing

Vision Care:

Our vision care providers agree to discount eye exams by $5 to $10, eyeware by as much as 50% and laser surgery by as much 25%.  Here is our fee schedule:

Exam (with Dilation as necessary):

    • $10 off routine exam
    • $15 off contact lens exam

Frames:

  • Up to $130: 30% off retail price
  • Over $130: 20% off the balance

Standard Plastic Lenses*:

  • Single: $55 or less
  • Bifocal: $75 or less
  • Trifocal: $95 or less
  • Lenticular: $95 or less
  • Standard Progressive: $125 or less

Lens Options (add to base price of lenses):

  • UV Coating: $12.50
  • Tint (Solid and Gradient): $12.50
  • Scratch-Resistance: $12.50
  • Basic Polycarbonate: $35
  • Standard Anti-Reflective Coating: $45

Other Add-ons and Services:

  • 20% off of retail prices

* Certain vision care retailers have agreed to provide additional discounts below these stated prices. Please ask your Network Optician for details.

Compare these prices to major retailers and you'll see -- you don't need to give up style and service to get the best prices in town!

Chiropractors:

Our chiropractors agree to discount their services by 10% to 25%, and even more when you pay for multiple visits.

    • Initial Examination (non-auto accident): $75
    • Adjustments: 15% Discount from U&C
    • X-rays
      • AP & Lat. Cervical: $40
      • AP & Lat. Lumbar: $50
      • Full Spine: $95
    • All Other Diagnostic Services: 15% Discount from U&C
    • All Follow-Up Treatment: 15% Discount from U&C

Best Pricing Guarantee:

In some instances, your provider or pharmacy may charge below the Care4Neighbors' prices for specific services or medication. In those cases, you will be charged the lower of the Care4Neighbors' price or the provider's/pharmacy's price.

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What does Usual & Customary mean?

Usual & Customary (U&C) is an industry term. It basically means: “what constitutes a fair price for quality medical and dental services in a particular l ocation.” 

U&C Fee schedules are often established by Managed Care Companies to determine how they reimburse doctors. They help contain costs (because the insurance company is responsible for payment), while assuring that providers treat their patients diligently and thoroughly to the best of their ability.  U&C Fee schedules also take into account the fact that underlying costs for doctors vary from community to community.  Therefore, U&C in Miami may not be the same as in Palm Beach.

Care4Neighbors uses fee schedules and contracted terms to set our Providers’ fees below U&C. We determine U&C in much the same way that managed care companies do, always with the goal of allowing our Members an honest discount and our Providers with a fair price for quality work.   

Care4Neighbors is not insurance. This is a Discount Plan. You are responsible for payment to your healthcare professional, pharmacy or lab of the entire costs of services. Those services have been discounted to our Members, however, Care4Neighbors does not reimburse you or your doctors for any charges you incur in the course of your treatment.

 

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