| BENEFIT COVERAGE AVAILABLE IMMEDIATELY NOTE: Specialist services are available for a 15% benefit coverage. Ask your Dentist for information. Special Offers for Group Coverage of 3 or more applications for the Premium Plus plan and the Prevention Plus plan. 2.) Select your Primary Dentist from our DIRECTORY. REMEMBER TO USE YOUR BROWSERS BACK ARROW BUTTON TO RETURN TO THIS PAGE. 3.) If you are an individual who is interested in signing up with the ADAP program, print out an application from one of the linked plans below, along with a Credit Card Withdraw Authorization Form (only if you plan to pay your monthly membership fee this way), and mail it to the address on the application along with a $15 processing fee. You will receive your cards in the mail along with the member contract. If you have any questions regarding the ADAP plan, contact your primary dentist for service (DIRECTORY) . ADAP staff works primary with the dental office. 4.) For employers who are interested in group dental coverage should contact an ADAP representative and discuss the savings that you can receive. Links to Printable Plan Information and Plan Applications in PDF Format: Once the link is clicked, the form will open with Adobe's Acrobat Free Reader and can be printed out and then mailed in. If you don't have the Acrobat Reader installed on your computer, go HERE and download and install it on your system. All files, along with the contents of this web site, are copyrighted and any changes to forms and content are not allowed without the expressed written consent of ADAP Inc. |
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| Credit Card Withdraw Authorization Form Member Services Change Form |
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