Six Easy Steps to Joining Savon Dental Plan:
Select State	Select Dentist	Select Plan	Complete Application	Submit App. & Payment	Print ID card

Long Term Enrollment Application

(For the Basic Plan only and for 3 or more years)

These long term plans are intended for those that have major dental problems or need braces These plans are available only in states where Savon has Network Preferred or Network Participating Providers.

These Plans Are Not Refundable!!

Please choose carefully. If you feel that a long term plan is not suitable for your needs, we invite you to join our 1 or 2 year Basic Plan
using our regular application or call 1-800-809-3494 to discuss your options.

Because of their long term nature, these plans are NOT REFUNDABLE!!

	To apply online, select the state where you wish to enroll:
	State:

Other Enrollment Options

	If you wish to talk with a customer service representative and apply over the phone please call: 1-800-809-3494

Savon Dental Plan Is Not Available For Purchase In The State Of Florida

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This is not dental insurance and is not intended to replace insurance.
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Six Easy Steps to Joining Savon Dental Plan:

Long Term Enrollment Application

(For the Basic Plan only and for 3 or more years)