Membership Terms & Conditions

The Elite Dental Membership Club ("Membership Plan") is an in-house patient membership plan offered directly by Elite Dental ("Practice," "we," "us") to individual patients. This plan is NOT dental insurance and should not be treated as a substitute for dental insurance. By enrolling, you ("Member") agree to the terms set forth in this Agreement. This Agreement is between you and Elite Dental only.

The Membership Plan is not a dental insurance policy, health maintenance organization (HMO) plan, or any other type of insurance product. It is a direct patient membership arrangement between you and Elite Dental. This plan: • Cannot be used in combination with dental insurance benefits for the same covered services • Does not involve any third-party payor or insurance company • Does not provide insurance benefits or insurance consumer protections • Does not guarantee payment to any third party for dental services

Membership benefits are determined by the plan selected at enrollment: Adult Membership ($39/month) — Ages 13 and older • 2 professional dental cleanings per year (D1110) • 1–2 doctor exams per year (D0120) • Clinically necessary x-rays as determined by your dentist • 1 emergency exam per year (D0140, D0220) • 15% discount on eligible treatment (some exclusions apply) Perio Membership ($63/month) — Periodontal disease patients • 3–4 periodontal maintenance cleanings per year (D4910) • 1–2 doctor exams per year (D0120) • Clinically necessary x-rays as determined by your dentist • 1 emergency exam per year (D0140, D0220) • 15% discount on eligible treatment (some exclusions apply) Benefits are available only while the membership is active, current, and in good standing. Benefits are per member per calendar year, do not roll over, and are not refundable if unused.

Eligibility and Plan Selection: Paid enrollment is available only through an authorized, private office link. Elite Dental clinically selects the appropriate Adult or Perio plan. Membership benefits are not retroactive to services completed before enrollment, except for the included visit described below. Enrollment (Visit Included): New and existing patients enroll through a private office link. Your card is saved securely and is not charged at that time. When you enroll at a visit, Elite Dental confirms the appropriate Adult or Perio plan, and your card is then charged the $149.00 activation fee plus your first monthly payment ($188.00 Adult or $212.00 Perio). That day's routine visit (the comprehensive new-patient visit, normally $340.00 for a new-patient hygiene visit or $285.00 for a doctor new-patient visit, or a routine exam, cleaning and x-ray visit for existing patients) is included with your membership and is not billed separately. Treatment performed that day is billed at the member rate. If you enroll outside of a visit, the same activation fee and first monthly payment apply and no visit is included. Early Cancellation After an Included New-Patient Visit: Because the new-patient visit is included, if your included visit was a new-patient visit and you cancel your membership within six (6) months of activation, Elite Dental reserves the right to charge the card on file the remaining balance of that visit, equal to the full new-patient visit fee minus the activation fee and first monthly payment you paid at activation (for example, $340.00 minus $188.00 equals $152.00). By enrolling, you authorize this charge. Elite Dental may choose not to collect it at its discretion. This charge does not apply to cancellations after the six-month period or to included existing-patient visits. Activation Fee: A non-refundable activation fee of $149.00 is due at activation. If your membership is cancelled and you later re-enroll, a new activation fee will be required. Monthly Fee: The first monthly payment is charged at activation, and the next payment one month later. Future recurring payments are charged monthly on the membership anniversary date. For enrollments occurring near the end of a month, Stripe may use the final available day of a shorter month. Processing or bank settlement may appear on a later business day. Members who enrolled before October 15, 2026 keep the billing schedule in effect when they enrolled. Illumitrac Transfers: Existing Illumitrac members transferred through an authorized office link pay no new activation fee and are not charged when they securely add their card. The first Elite Dental monthly charge is scheduled one month after the last recorded Illumitrac payment date. Transferred Adult and Perio members retain the prior $37 and $60 monthly rates, respectively, through December 31, 2026. The current $39 and $63 rates begin with the first membership renewal on or after January 1, 2027. The member is responsible for confirming that the prior Illumitrac billing arrangement has been cancelled before its next renewal. All fees are charged in U.S. dollars. We accept all major credit and debit cards. Payment processing is handled by Stripe, Inc. Your card information is transmitted securely and is never stored on our servers. Failed Payments: If a scheduled payment fails, we will attempt to process the charge again. Repeated failed payments may result in suspension or cancellation of membership benefits.

The 15% discount applies to eligible restorative and elective dental treatments performed at Elite Dental. The discount is applied to the Practice's standard fee schedule at the time of service. Exclusions from the 15% discount may include, but are not limited to: • Third-party laboratory fees • Specialist referral services • Certain orthodontic procedures • Services already discounted under another arrangement • Any services covered under a separate agreement Your treatment coordinator will inform you of any applicable exclusions prior to treatment. Discounts are available only while your membership is active, current, and in good standing. The Practice reserves the right to update the exclusion list with reasonable notice.

The Membership Plan is available to individual patients only. It is not available to or through employers, associations, or other group arrangements. Each member selects a primary location (Dandridge or Jefferson City) at enrollment. Membership benefits are associated with that location. To transfer your membership to a different location, please contact our office. Each family member must enroll separately. There is no family plan; each enrolled individual has their own independent membership and set of benefits.

You may cancel your Membership Plan at any time by contacting our office or through your online member portal. Upon cancellation: • Your membership benefits remain active through the end of the current billing period • No further monthly charges will be made after the cancellation date • The $149 activation fee is non-refundable • If your included visit was a new-patient visit and you cancel within six months of activation, the remaining visit balance described in Section 4 may be charged • Unused benefits for the current period are not refunded The Practice reserves the right to cancel a membership at its discretion with written notice (including email). In the event the Practice cancels your membership without cause, any prepaid monthly fees for unused periods will be refunded.

Elite Dental reserves the right to modify membership fees, included services, or discount amounts with 30 days advance written notice to enrolled members. If you do not agree to the modified terms, you may cancel your membership before the effective date of the change without penalty. Continued use of membership benefits after the effective date of any change constitutes acceptance of the updated terms.

Membership in this plan does not guarantee that any specific dental treatment will be recommended or performed. All treatment recommendations are made at the sole clinical discretion of your treating dentist based on your individual needs and clinical findings. Membership does not entitle you to demand specific procedures. The Practice reserves the right to decline to perform any procedure it deems clinically inappropriate.

The Membership Plan is a discount and preventive care program only. Elite Dental is not liable for any dental costs or treatment expenses beyond those explicitly included in your selected plan. In no event shall the Practice's liability to any member exceed the total monthly fees paid by that member in the 12 months preceding any claim.

This Agreement is governed by the laws of the State of Tennessee. Any disputes arising from this Agreement shall be resolved in the courts of Jefferson County, Tennessee.

Elite Dental Dandridge Office: 334 Highway 92 S, Suite 1, Dandridge, TN 37725 · (865) 397-5422 Jefferson City Office: 683 E Broadway Blvd, Jefferson City, TN 37760 · (865) 475-8331 For membership questions, billing inquiries, or cancellation requests, please contact membership@elitedentalsmiles.com, either office location, or use your member portal.