Dental:• NATIONWIDE NETWORk OF OVER 80,000 DENTISTS• No Paperwork• No Waiting• No Limits On Visits Or Services• No Age Restrictions• Ongoing Dental Problems Accepted• Can Change Dentists Anytime

• Oral Exams• X-Rays• Teeth Cleaning• Filings and Crowns• Orthodontics (braces) • Cosmetic Dentistry • Specialists included

AMERIPLAN PROGRAMS ARE NOT INSURANCE

Vision:• MORE THAN 12,000 OPTICAL PROVIDERS NATIONWIDE• Save from 20% TO 60% on all frames, lenses, tints,

scratch-resistant coatings and ultra-violet protection• Save from 10% TO 50% on eye exams and LASIK surgery • Special savings from 10% TO 40% on contact lenses • Additional discounts on designer non-prescription

sunglasses with the world’s largest online optical store

Includes Frames Direct

ExamsD0150 - Initial Oral Exam $130 $35 73%D0120 - Periodic Oral Exam $ 68 $15 78%

X-RaysD0210 - Intraoral Complete Series $182 $55 70%

CleaningD1110 - Regular Teeth Cleaning $123 $48 61%(Light Scaling & Polishing)

FillingsAmalgam Filling (Silver Colored)D2140 - 1 Surface $182 $45 75%Composite Filling (Tooth Colored)D2330 - 1 Anterior Surface $224 $74 67%

Root Canal (Excluding Final Restoration)D3310 - Anterior $933 $375 60%

D2750 - Porcelain Crown $1,469 $575 61%(w/High Noble Metal)

Orthodontic Treatment (Braces*)by General Dentist

D8080 - Child (under age 19) $6,205 $2,250 64%D8090 - Adult (age 19 and over) $6,518 $2,400 63%

Example of savings on the most utilized dental procedures:

Sample General Dental Office AmeriPlan® AmeriPlan®Dentist Procedures Fees up to Fees Savings

Up To

AMERIPLAN PROGRAMS ARE NOT INSURANCE

Prescription:• MORE THAN 56,000 PARTICIPATING CHAIN ANDINDEPENDENT PHARMACy LOCATIONS NATIONWIDE

• Save 10% - 85% on most brand name and generic prescription drugs• Save on over the counter medications, smoking cessation aids sponsored by

Smokers Last Chance• Save from 25% to 40% on Hearing Services• Mail order pharmacy option available• Wellness screenings through Life Line Screening

Chiropractic:• MORE THAN 7,500 PARTICIPATING DOCTORS• FREE INITIAL CONSuLTATION• 50% SAVINGS on all diagnostic services & required x-rays• 30% SAVINGS on treatment and most other services• NO LIMIT on number of visits

Example of savings on most Generic and Name Brand Prescriptions

Phentermine Tab 37.5 MG 30 $117.18 $13.27 88.7%

Tramadol HCL Tab 50 MG 30 $83.98 $11.20 86.7% Pantoprazole Tab 50 MG 30 $149.03 $21.32 85.7%Atorvastatin Tab 20 MG 30 $137.99 $25.49 81.5%Ranitidine Tab 300 MG 30 $59.99 $18.50 69.2%

Alprazolam Tablet 2 MG 30 $42.69 $13.20 68.9%

Armour Throid Tab 60 MG 30 $80.92 $25.64 68.3%

Diazepam Tab 5 MG 30 $14.99 $5.09 66.0%

Zolpidem Tab 5 MG 30 $53.44 $21.42 59.9%

Naproxen Tab 375 MG 30 $28.89 $11.80 59.2%

Oxycodine-Acetaminophen5-325 10 $22.69 $10.62 53.2%

Lisinopril Tab 30 MG 30 $22.82 $13.69 40.0%

Prednisone Tab 10 MG 5 $11.99 $9.41 21.5%

Fexofenadine HCL Tab60 MG 90 $62.24 $56.48 9.3%

Drug Name Dosage Days Supply Retail AmeriPlan® AmeriPlan®Cost Cost Savings

Including Diabetic Supplies

ameriplancashbacksaver.com

®

5700 Democracy DrivePlano, Texas 75024

www.ameriplanusa.com

For more information, contact AmeriPlan® Benefit Consultant listed below:

© 2016 AmeriPlan® Corporation. All rights reserved. DVPC_08/16

DISCLOSURES TO CONSUMERS:These discount medical plans are NOT health insurance or aMediCare Prescription Drug Plan. Membership in these programs entitles you to discounts for certain medical servicesand prescription drugs by providers who have agreed to par-ticipate in these discount programs. These programs do NOTmake payments directly to the providers of medical services andprescription drugs. The programs’ members are obligated to payfor all healthcare services, but will receive a discount from thosehealthcare providers who have contracted with these discountprograms. The name, address and specialty of the discount med-ical and prescription drug program providers in your service areaare available before purchase and upon request by logging on towww.ameriplanusaprovidersearch.com or call the AmeriPlan®

Consumer Information Center at 1-800-647-8421. That the rangeof discounts for medical or ancillary services provided under theplan will vary depending on the type of provider and medical orancillary service received.

AmeriPlan® Corporation 5700 Democracy Drive Plano, Texas 75024

A Discount Medical Plan Organization

The average savings on the most utilized provider procedures stated in this brochure are onlya sample from the discount fee schedule that each AmeriPlan® provider has agreed to honorfor members. The discounts represent a reduction on a treatment or percentage basis of theusual and customary fees charged by the providers for a specific treatment.AmeriPlan® confirms that its medical, dental, vision, chiropractic and pharmacy providers areprofessionally licensed in your state, but does not guarantee the quality of the services orproducts. Quality of care complaints should be addressed to the appropriate licensing agencyin your state. If you are not sure whom to call regarding quality of care complaints, contactthe Consumer Information Center at 1-800-647-8421.If you have health insurance, this discount medical plan may be duplicative of your healthinsurance.