As we are all aware dentistry can be very expensive and there have been many recent changes to insurance benefits as a result of the advent of the Affordable Care Act. While we do participate with a few select insurance plans as in-network providers, many of our patients elect to see us as an out-of-network provider, or on a cash basis. Choosing to seek care from an out-of-network PPO provider, you should still receive insurance benefit at our office, however, you will often be responsible for a higher share of cost associated with your visit. We do not accept HMOs, Healthy Families or Denti-Cal.
We put great effort into estimating your treatment costs prior to your first visit and at all subsequent visits. We predicate this on having your correct insurance information. Please notify us immediately should your insurance change, or should you have any questions about your benefits here in our office. If your child is found to have specific restorative treatment needs, you will receive a detailed treatment plan with a breakdown of all estimated fees. The estimates are made according to the insurance information that you have provided us. Please keep in mind that treatment needs may occasionally change and the treatment plan may need to be altered at the time of treatment. In order to reduce the potential for this outcome, we take great care to develop a worst case scenario treatment plan during our exams.
In most cases, we are able to submit insurance claims on your behalf. We are happy to offer this service to you. Please keep in mind that we can only estimate your insurance benefits at our office based on the information that you provide to us. As the insured member, it is ultimately your responsibility to be aware of specifics of your plan, including effective dates and remaining benefits (should you have sought care from another provider in the plan year). Please keep copies of all of the Explanation of Benefits (EOBs) sent to you by your insurance company. Should the estimate of your insurance benefit be incorrect after EOBs are received, we will issue a reimbursement and/or seek the remaining balance immediately.
Due to significant and continual changes in health care and insurance plans, there are some insurance plans that we are unable to bill on your behalf. In these situations, we are happy to create a “super bill” for you to submit to your insurance company. Many insurance companies generate payments in 7-14 days. With these plans that reimburse the subscriber (you) and not the provider (us), we ask that treatment is paid for entirely at the time of treatment. We do not offer payment plans in our office. Payments are due at the time of service.
We are pleased to offer CareCredit to our patients and their families. This allows you to have up to 12 months at no interest to pay for your services. If you are interested, please inform a member of our staff so that they may direct you to the application for CareCredit prior to scheduling treatment.