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

Transtional Plan Enrollment Application

This plan is available only in states where Savon has Network Preferred or Network Participating Providers.

•6 month plan • Not Renewable • May be reinstated to a 1 year plan at the current enrollment price

This plan is reserved for New Members Only.

If you have EVER been a member of Savon before (either as a primary, spouse or dependent)
please join using the regular application or call 1-800-809-3494 to discuss your options.

Please choose carefully. This plan is intended to provide short term replacement dental coveage. If you think that you may need a plan for more than 6 months, we invite you to see our 1 or 2 year Basic Plan.

Because of its short term nature, this plan is 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:

Transtional Plan Enrollment Application

•6 month plan • Not Renewable • May be reinstated to a 1 year plan at the current enrollment price