If you are fortunate enough to receive dental insurance as part of your employment benefits, we want to do everything possible to help you capture the value. This said, every plan is different and it often takes an expert to help navigate the benefit guidelines. We are fortunate to have a team of bi-lingual folks who are able to analyze your plan, explain the available benefits and answer all of your questions. We are proud to work with all of the major dental insurance companies, and we welcome the opportunity to answer your questions.
How We Help
We are committed to providing you with the best possible care. If you have dental insurance, we are happy to work with you so you can receive your maximum allowable benefits. In order to achieve these goals, we need your assistance, and your understanding of how we work with insurance.
*We are happy to prepare and file insurance forms, and we will provide you with necessary documentation for the services you receive.
*Your insurance is a contract between you and the insurance company. We must emphasize that as health care providers, our relationship is with you, not your insurance company.
*Not all services are a covered benefit in all contracts.
*Although we make every attempt to file claims accurately and to resolve errors if they occur, we cannot be responsible for any errors in filing your claims.
*Do you accept my insurance? How much will they pay?
We do not accept Medicaid and/or Medicare. We accept all private insurance plans. This means that we work with literally thousands of companies. Due to changes in policies, it is impossible to give you guaranteed quotes of their payments. We can estimate your portions based on past payment histories, but it is only an estimate.
*I thought I paid my portion but I got a bill … why?
We base the patient portion of your bill on our most current data but there are many factors that can affect this estimate. There may be a deductible (individual or family). Sometimes you may have seen a specialist for care, which uses up part of your annual benefit. Insurance companies do not notify us of changes to your benefits. They will only notify you. Please let us know of any of these changes.
*Insurance did not pay … now what?
Remember that you are ultimately responsible for your account. Insurance is a contract between you and your insurance company. We process the paperwork and make our recommendations. The insurance company decides what they will pay – our input does not necessarily influence their reimbursement philosophy. Please be aware that some or all of the treatments we have recommended may be considered non-covered or not reasonable or necessary under your insurance program.
If you have further questions regarding your dental insurance, please contact your employer’s human resource department, contact your insurance company directly, or contact us and we will do our best to assist you.