Our insurance coordinators deal with many different insurance companies. Some companies offer many different dental and medical plans. Some companies combine dental and medical coverage. This insurance alphabet soup changes policies and guidelines weekly. At times, it is almost impossible to accurately estimate our 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 be current.
All co-payments are payable when you check in at the front desk.
If a patient comes to us with a problem that they expect to be covered by medical insurance (biopsies, tumors, TMJ, infections, jaw deformities), 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 referral for you, and the referral cannot be obtained retroactively. If you do not have a referral, we will be happy to see you on a cash basis, but your medical insurance company will not pay for your treatment.
Medicare pays us directly for your care. You are responsible for any deductible and co-insurance. Dental procedures (extractions) are NOT covered by Medicare. If Medicare denies your procedure, you are responsible for the charges.
Private and Group Insurance
As a courtesy, we will file your insurance claims for you.Upon our 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 promptly.
We will send you a monthly statement. Most insurances will respond within four to eight weeks. Please call our office if your statement does not reflect your insurance payment within that time frame. Any remaining balance after your insurance has paid is your responsibility. Your prompt remittance is appreciated.
For your convenience we accept Visa, MasterCard, Discover and Care Credit. Any questions regarding billing can be addressed by calling our billing hotline at 412-563-3440.