Our team understands that our patients rely on dental insurance benefits to help defray the costs of dental services. We are happy to assist you in filling your claim with your dental insurance provider. We will go the extra step, communicating with your insurance company and sending additional information if necessary; to see that eligible benefits are paid in a timely manner.
We must emphasize that as dental care professionals, our relationship is with you and not with your insurance company. We will make every effort to provide you with an accurate coverage estimate based on information available to us at the time but you are ultimately responsible for knowing the details of your benefits.
Please have your insurance information with your initial consultation including your identification number, group number, insurance provider name and address.
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 patient’s insurance benefits. 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.
Dental Insurance Benefits:
The majority of dental plans reimburse approximately 30-80 percent of treatment costs.
Medical Insurance Benefits:
If a patient comes to us with a problem that they expect to be covered by medical insurance (biopsies, tumors, TMJ, infections), they must have a referral from their primary care physician. A referral from a dentist is not adequate for medical insurance coverage. Obtaining a medical referral is the patient’s responsibility. We cannot obtain the medical referral for you and the referral cannot be obtained retroactively. If you do not have a medical referral, we will be happy to see you on a cash basis, but your medical insurance company will not pay for your treatment.
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. We will assign insurance payment to be sent directly to you. In return, your treatment fees will be billed to you directly.