| Click here for application form Dental and Vision Plan (No Prescription) Opens in a new Window |
Click here for application form Dental and Vision Plan + Prescription Plan Opens in a new Window |
If you need additional space to print all information, simply include information on a separate sheet of paper.
When paying by check or money order, quarterly payment is required. (Save 10% when paying annually)
Fax to: 817-377-8826
Or mail form and payment to:
Careington
Dental Plan
2501 Parkview Dr, Suite. 210, Fort Worth, Texas 76102
DO NOT SEND CASH
Make check or money order payable to "Careington
International."
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You can cancel within 30 days and receive a Full Refund, less the processing fee.
You are joining the Careington dental plan
Care 500 Series. You will receive your Membership Packet and ID Card by mail about 10 business days after we receive your application.
You do not need to wait for your ID Card by mail to start using your dental plan.
When your application is received, you are sent a temporary dental plan ID via e-mail. If no e-mail address is given, your temporary ID is mailed.
Fast Start Tip 1. When making your first appointment, verify that the dental office is a current Careington Dental Plan "500 Series" provider and is accepting new patients.
Fast Start Tip 2. You are sent a Temporary E-mail ID. Print this Temporary ID and take it on your first dental office visit.
Fast Start Tip 3. We suggest that you print a copy of the full Schedule of Discounts for your State and take it with you on your first dental office visit to be sure you are being billed properly. (These are Careington's best savings!)
Checklist... (1) verify dental office, (2) temporary e-mail ID, (3) schedule of discounts.
Vision & Rx Plans: You may start using the Vision Plan (included) and Prescription Plan (optional) once these plan ID card(s) arrive via mail.
Quality Low-Cost Dental Care
Liberty Insurance Brokerage, Inc.
National General Agents for Careington International
1-888-227-9449
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Thank you. We appreciate your business.