Dentistry, like other health care services, can be expensive. Many patients get dental insurance through their employer which offsets some of the costs associated with routine dental care. We do our best to verify your insurance prior to your first appointment so thay we can guide you through the complex maze of dental coverage. The staff of @DENTAL works hard to understand and assist our patients maximize their dental benefits; however, we are not insurance experts.
Plainly stated, your insurance policy is a contract between you, your employer, and the insurance company/carrier. It is not between the patient and dental provider. It is the patient’s responsibility to inform us if there is a change in carriers or coverage. We ask each patient upon every visit that very question. Be prepared to pay any co-payments due at time of service. If you no longer have insurance support, be prepared to pay the entire amount for the service provided.
It is in a patient’s best interest to use a provider who is part of their insurance’s network. As a courtesy to you we will file your insurance claim if you agree to have your insurance company pay the doctor directly for his services. Should your insurance company not pay within 60 days from the date of service or there is a lapse in coverage we will look to you for payment in full.
All dental insurance plans are not the same and may not cover the same services. Dental insurance is significantly different than health insurance. Read your policy manual to ensure you understand your deductible, your coverage and the plan’s limitations. There are limitations within most insurances when it comes to crowns, bridges, veneers, cosmetic work and implants just to name a few. Some patients also want to ask for “predetermination” from their insurance carrier prior to commencing any major work. We can certainly do that for you but be advised that “predetermination” is not a guarantee of payment when the service is actually performed.
Here is a list of the insurances we considered are within network:
|Aetna Vital Savings||Local 872|
|Access Advantage Plan||Local 995|
|BC/BS Anthem||Mutual of Omaha|
|Carrington Platinum||Safe Guard|
|Delta Premier||Southwest Administrators|
|Fortis||Teachers Health Trust|
|Great West Health Care||The Loomis Company|
|Great West Healthcare||Trident|
|Humana PPO||United Healthcare PPO|
|Humana Specialty Benefits||Zenith Administrators|
We are a provider for all Diversified Dental Plans
We do not accept Culinary, Medicare/Medicaid or any DMO plans.
You can always select us for your dental care even if we are not a participating provider with your specific dental insurance plan. You will simply pay more out-of-pocket expenses for all services provided. You must pay the difference between what your plan allows and our usual and customary fee.
We are constantly evaluating our participation with all insurance plans based on their fee schedules. With the price of everything going up, we cannot afford to participate with any insurance plan that asks us to take a pay cut or does not adequately reward us for the comprehensive service we provide with great skill and compassion.