Patients without Dental Insurance:
Patients with Dental Insurance
We know questions can arise on insurance matters. We encourage you to discuss such questions with our business staff. We will help you receive the maximum benefits: however, please remember the agreement of the insurance company to pay for your dental care is a contract between you and the insurance company. We will be happy to file your insurance as a courtesy to you.
We will always try to accommodate you by staging treatment at a rate in which you can afford the dental treatment.
Dental benefits plans are made available to employees of members, through companies, unions, and associations, and may vary considerably from one plan to the next.
The range of benefits depends solely on what the plan purchaser wishes to offer employees or members. Some plans may cover as little as 30% or as much as 100% of dental services, with most falling in the 50% to 80% range. Some plans exclude certain types of services, e.g. orthodontics, while other plans will cover a full range of dental services.
Some plans base the amount of benefit on a chart or schedule of fees arbitrarily developed by third party payers. For this reason, you may receive a lower percentage of the reimbursement level indicated in your dental plan. For example, if your plan states that it will pay 80% of dental treatment, it means 80% of the fee as determined by the insurance company, and not the actual fee charged.
As the number of patients covered by dental benefits plans has increased, certain assumptions have become evident, and I would like to make the principles of my practice, as well as the type of service and care I provide my patients, very clear:
I will help you in every way in filing your claims, handling insurance queries, processing follow-ups, lost claims, etc. No question is too small for you to ask, whether it is about your treatment, benefit plan or statement. Stop in or call, anytime you have a question. We are here to help you.
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