Discount Plan Application | Products Included: Dental

2. Sign Up and download your immediate ID#

Plans active same day, membership information emailed instantly and mailed!
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or 24 Hours a Day Online: Click Here

Credit and Debit Accepted
View Terms and
Membership Agreement

Membership Type *

Your Name *
Your Legal First & Last name
Your E-Mail Address *

to you at this address
Member Date of Birth *
*We do not need additional family members' birth dates. Only the primary.
Primary Member Name
The name you would like printed on your Membership Card. Or, if you are signing up for someone else, enter their name here.
List Family Members
If you selected the family plan above then enter the additional family members.
Dentist Last Name
Referred by or Referral Code
If a friend, family member, or co-worker referred you make sure to give them credit!
Enter Office Code

If you received a code from your dental office enter it here. Leave empty for none.

Credit Card Type *
please select one
Cardholder Name *
cardholder first and last name, exactly as
shown on the card
Credit Card Number
for example: 1111-2222-3333-4444
Card Expire
Select card expiration date - month and year
Credit Card Code
The "Card Code" is a three- or four-digit security code
that is printed on the back of credit cards in the card's
signature panel (or on the front for American Express cards).
Phone *
enter phone number in the following
format: 999-999-9999
it's only required if different than address above

I have read the Terms and Conditions and wish to purchase the Discount Medical Plan.

Terms and Conditions


Renewal Conditions: By joining a plan, you are authorizing American Sterling Dental Plans DBA DentaCard to bill your credit card or checking account for the plan you have selected. This charge shall renew until you notify American Sterling Dental Plans DBA DentaCard in writing of its cancellation. By joining you indicate you have read the terms and conditions of the plan. This plan will automatically terminate at the end of your membership term for the plan you have selected.

Termination Conditions: American Sterling Dental Plans DBA DentaCard and Careington International Corporation (Careington) reserve the right to terminate plan members from its plan for any reason, including non-payment. If American Sterling Dental Plans DBA DentaCard terminates the plan or your membership for a reason other than non-payment, you will receive a pro-rata refund of your membership fees.

Cancellation Conditions: You have the right to cancel within the first 30 days after effective date or receipt of membership materials (whichever is later) and receive a full refund, less the processing fee, if applicable. If for any reason during this time period you are dissatisfied with the plan and wish to cancel and obtain a refund, you must submit a written cancellation request. American Sterling Dental Plans DBA DentaCard will accept cancellation requests at any time and will stop collecting membership fees in a reasonable amount of time, but no later than 30 days after receiving a cancellation notice. Please send a cancellation letter and a request for refund with your name and member ID to American Sterling Dental Plans DBA DentaCard, DentaCard at 6150 Parkland Blvd Ste 250, Mayfield Heights, OH 44124 or fax to 1-888-339-5418. You may also submit cancellation requests by email: When you cancel, you will continue to have access to the plan for the remainder of the period for which you have paid; your membership will terminate at the end of that period. The preceding sentence does not apply to quarterly, semi-annual or annual memberships in FL, ND and OK, where you will receive a pro-rata refund whenever you cancel.

Description of Services: Please see the enclosed materials for a specific description of the programs included in your plan.

Limitations, Exclusions & Exceptions: This plan is a discount membership program offered by Careington. Careington is not a licensed insurer, health maintenance organization or other underwriter of health care services. No portion of any provider’s fees will be reimbursed or otherwise paid by Careington. Careington is not licensed to provide and does not provide health care services or items to individuals. You will receive discounts for services at certain health care providers who have contracted with the plan. You are obligated to pay for all health care services at the time of service. Savings are based upon the provider’s normal fees. Actual savings will vary depending upon location and specific services or products purchased. Please verify such services with each individual provider. The plan’s discounts may not be used in conjunction with any other discount plan or program. All listed or quoted prices are current prices by participating providers and subject to change without notice. Any procedures performed by a non-participating provider are not discounted. From time to time, certain providers may offer products or services to the general public at prices lower than the discounted prices available through this plan. In such event, members will be charged the lowest price. Discounts on professional services are not available where prohibited by law. This plan does not discount all procedures. Providers are subject to change without notice and services may vary in some states. It is the member’s responsibility to verify that the provider participates in the plan. At any time Careington may substitute a provider network at its sole discretion. Careington cannot guarantee the continued participation of any provider. If the provider leaves the plan, you will need to select another provider. Providers contracted by Careington are solely responsible for the professional advice and treatment rendered to members and Careington disclaims any liability with respect to such matters.

Complaint Procedure: If you would like to file a complaint regarding your plan membership, you must submit your complaint in writing to: Careington International Corporation, P.O. Box 2568, Frisco, TX 75034. You have the right to request an appeal if you are dissatisfied with the complaint resolution. After completing the complaint resolution process, if you remain dissatisfied you may contact your state insurance department.

Automated Reminders: We use the information you provide about yourself or someone else to contact you when your plan is expiring. By submitting your information, you agree we may email or call you using an automated system regarding the renewal of your plan. You may opt out at any time by emailing us at or calling us toll free 1-877-333-6822.

THIS PLAN IS NOT INSURANCE and is not intended to replace 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 range of discounts will vary depending on the type of provider and service. The plan does not pay providers directly. Plan members must pay for all services but will receive a discount from participating providers. The list of participating providers is at [applicable website]. A written list of participating providers is available upon request. You may cancel within the first 30 days after effective date or receipt of membership materials (whichever is later) and receive a full refund, less a nominal processing fee (nominal fee for MD residents is $5, AR and TN residents will be refunded processing fee). Discount Plan Organization and administrator: Careington International Corporation, 7400 Gaylord Parkway, Frisco, TX 75034; phone 800-441-0380. This plan is not available in Vermont or Washington.

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