Insurance Information

insurance-policyOur 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. 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 by a yearly maximum and often only pay for a portion of the procedure(s) that may need to be done.

Medical Insurance

The majority of our procedures are not covered by medical insurance. 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 referral for you and the referral cannot be obtained retroactively. If you do not have a referral, we will be happy to see you, but your medical insurance company will not pay for your treatment. If you choose to file a medical claim, we will provide you with the dental records, however, we do not bill medical insurance.

Private & Group Insurance

As a courtesy to our patients with dental benefit plans, we will submit necessary claim forms, receipts, and other information to your insurance company, provided we have current and accurate information.

The benefit paid by those plans will be sent to the patient directly for reimbursement of fees already paid to our office.