INSURANCE

Dental insurance plan benefits are determined by your employer, or which plan you chose, not your dentist. The level of coverage is solely based on your premium paid. Your dental insurance plan is a contract between you and your insurance company and understanding your plan limiations and exclusions is your responsibility. An insurance plan is not a guarantee of payment, as not all services are covered benefits in all contracts. Our office recommends treatment as determined by the America Dental Association, not your insurance plan.    

Please realize that dental insurance isn’t really insurance, it is a benefit provided by an employer to help their employees pay for routine dental services.  As a courtesy, we will file your claim for you if you present your dental plan card and all required subscriber information.  It is your responsibility to bring your current dental insurance information with you to every visit.  Any assistance in these matters by our staff is given strictly as a courtesy and implies no responsibility on their part for filing, follow-through, or confirmation of coverage.    

 

In most cases you have authorized insurance payments to come directly to us. If an insurance payment gets mailed to the Subscriber instead, we will process a statement and payment will be due by the Subscriber. 

FINANCIAL AGREEMENT

We feel that everyone benefits when there is a definitive and clear financial agreement prior to treatment.  You may request a pre-treatment estimate for your dental procedure(s), but those may take 4-6 weeks to complete and will delay your treatment.  Before treatment is performed, we will discuss treatment and financial obligations and will do our best to give you a rough estimate of your investment in your dental health for each visit. Please be prepared to pay your estimated deductibles and/or co-payments when you arrive for your scheduled appointment.  You are responsible for payment of all services regardless of the payable benefit.  A 50% coinsurance down payment is required when reserving restorative time in the doctor’s schedule.     

You will be expected to pay in-full for all services rendered if your insurance is unable to be verified before treatment, or if the insurance company does not pay for the services rendered.  For your convenience we accept cash, check and credit card.  There is a fee of $50 for any returned checks. Unpaid balances may be subject to a 1.50% late fee, imposed every 30 days.   

CANCELLATION POLICY

Each time you make an appointment we exclusively reserve time in our schedule for both you, as the patient, and with a member of our dental team.  If you can no longer keep your reservation, we require a minimum of two (2) business days’ notice to avoid the $50/hour broken appointment fee. We also ask that you arrive on time to your appointments, and alert us if you are running late.  If you are more than 15 minutes late, we reserve the right to cancel your appointment as we may not have time to complete the scheduled procedures, and as a courtesy to our other patients who also have reserved time slots.    

MINOR CHILDREN

It is our office policy that all minor children (under 18) are accompanied by a parent or guardian to all dental visits.  There may be paperwork updates, payments needed, necessary health discussions and/or appointment scheduling that require a parent or guardian present and accounted for.  Please consider this when scheduling.  

 

I acknowledge through my initials above that I have read these office policies and am aware of my responsibilities outlined within them.