Eligibility
VINA has a limited amount of openings for patient eligibility. Applications will be accepted by appointment only. Please contact VINA Dental at (810) 844-0240, Monday-Thursday 9:00 am-4:00 pm. Applications can be picked up at the VINA Community Dental Center during business hours at 400 E. Grand River Ave., Brighton, MI 48116 or printed from our website here.
Eligibility: Patients must meet ALL FOUR requirements:
- Individuals must live in Livingston County for at least 6 months
- Individuals must be at least 18 years of age
- Must have NO dental insurance
- Families must have an income at or below 225% of the federal poverty level. This also includes public assistance, social security, and unemployment. EFFECTIVE 5/17/2022: Income can be up to 250% of the Federal Poverty Level. Changes are reflected in the chart below.
| Family Size | FPL (100%) | VINA Eligibility (250%) |
|---|---|---|
| 1 | $14,580 | $36,450 |
| 2 | $19,720 | $49,300 |
| 3 | $24,860 | $62,150 |
| 4 | $30,000 | $75,000 |
| 5 | $35,140 | $87,850 |
| 6 | $40,280 | $100,700 |
| 7 | $45,420 | $113,550 |
| 8 | $50,560 | $126,400 |
If you do not qualify for VINA, please click here to find more options for affordable dental care near you.
Services Provided*:
- Exams including oral cancer
- Cleanings
- Fillings
- X-rays
- Fluoride Treatments
- Oral Surgery/Extractions
- Dental Education Materials
- Crowns
- Nightguards
*Note: In general, Root Canals and Periodontal services are provided on a limited basis and alternatives may exist that may not be provided within the scope of this clinic.
Services NOT Provided:
- Braces
- Whitening
- Cosmetic Dentistry
- Sedation – IV or oral
- Nitrous Oxide (Laughing Gas)
- Implants
Application Procedures:
- Applications are accepted on a daily basis
- Patients must complete the Eligibility Forms. You can print them to fill them out by hand, or fill them out electronically at the bottom of this page.
- Patients will be required to pay a scheduling fee of $25.00 for each visit.
- All appointments must be PREPAID
- Patients must bring proof of residence in Livingston County (ie: utility bill, etc.)
- Patients must bring proof of family income (ie: last year’s tax return, unemployment statement, or social security statement)
- Patients must bring a Michigan photo ID
Important Information:
- Update proof of “Family Income” (including spouse) and residence once per year.
- Patients must arrive 15 minutes BEFORE every appointment
- If patient misses an appointment, co-pay will not be reimbursed and patient will be put at the END of the wait list after another payment is made.
- In the event of inclement weather, if Brighton Area Schools are closed, VINA will also be closed.
Children:
- Children may not be left alone in waiting room and must be supervised at all times.
Submission:
Please complete the Patient Eligibility Paperwork below. Applications are accepted by appointment only. Please call the office to setup screening appointment.
If filling out online: Once you have finished it, download it to save your changes and then send the downloaded copy (with your information) to Clinic Director Alicia Branstrom (abranstrom@vinadental.org).
Click here to download the online/fillable eligibility form
If printing and completing: Please mail or drop off your completed application to VINA at 400 E. Grand River Ave., Brighton MI 48116.