Our insurance coordinators deal with many different insurance companies. Some companies offer many different dental and medical plans. These companies can change benefits, co-pays, and deductibles many times throughout the year. We do our best to provide you with accurate coverage estimates based on information available to us. At times, it is almost impossible to accurately estimate a patients insurance co-payment. Many insurance companies will not give out fees until after the treatment is completed. Dealing with these companies can be difficult and time consuming. As a courtesy, we ask that you keep us informed of any change to your insurance. It is important that all information about you and your insurance is current.
Although we will gladly file a claim on your behalf, you may wish to submit the claim yourself. In general, insurers process claims filed directly by patients faster than those filed by the service providers (dental offices).
Further, most dental insurance policies are limited and often only pay for a portion of the procedure(s) that may need to be done.
Private & Group Dental Insurance
As a courtesy to our patients with medical and/or dental benefit plans, we will submit necessary claim forms, receipts, and other information to your insurance company. However, you must complete the insurance section of our New Patient Form in its entirety. At your request, we will send for pre-authorization/pre-estimate for procedures other than maintenance cleanings but trust that you will check with your insurer to find out the details and/or limits of your coverage. It can take 1-4 weeks to hear back from your insurance company so we will try to schedule your appointments accordingly.
We cannot make any guarantee of estimated coverage or payment but please know that we will do everything possible to see that you receive the full benefits of your policy. The estimated amount not covered by your insurance may be paid by any one of the other payment options we have available and we will be happy to work with you to plan the most appropriate arrangements for your budget. Upon receipt of an insurance payment, any balance due will be billed to you. If you have deposited an excessive co-payment, it will be refunded to you.
Please be aware that we are not a Medicaid/Medicare provider. As part of our Opt-Out agreement, we must inform you in advance that we will not bill Medicare nor will you be able to submit a claim for reimbursement from Medicare. Should you choose to have treatment in our office, you may take advantage of our other payment options.
The majority of dental plans reimburse approximately 30-80 percent of treatment costs. With this in mind, we ask that 20 percent of the fee be paid at the time of treatment.