Affordable Plans for Individuals, Families, & Small Businesses

Apply & Pay Online

Please fill out the application below, and click send.  You will then be asked to select the Dental Plan that best fits your needs.  Once you’ve selected your Dental Plan, you will be sent to a PayPal payment page for payment of your premium.

Step 1: Complete the application form below and click send.
Step 2: Purchase the plan that is best for you
Step 3: Once we receive your payment, a welcome packet will be sent to your home.

* All indicated fields must be completed.

    Terms and conditions: Gateway Dental Plans is a discounted dental plan and is not an insurance company. Have a great day!