
Insurance


Regarding Your Dental Insurance...
Dental insurance is often a complex and confusing issue. The lack of information
provided by some insurance companies often makes it difficult for patients
to properly understand their benefits.
Dental insurance is a contract between your employer and a dental insurance
company. Your employer- along with the insurance company- chooses the
services that will be covered and the benefits that you will receive.
This office has no say as to what procedures may or may not be covered.
Our goal is to provide you with optimal dental care. Your insurance company
is in business to make money for its shareholders. We will strive to help
you receive the maximum benefits to which you are entitled under your
insurance plan, but we are here to do what is best for YOU- not what is
best for your insurance company.
Your insurance company may utilize different strategies for limiting
the amount of benefits it pays out. Aside from restricting various procedures,
most dental insurance plans limit the amount of benefits you may receive
in a year. In addition, some insurance companies conveniently create their
own arbitrary fee schedules, and then pay benefits according to their
fee schedule.
Your insurance company may advise you to get a pre-authorization before
starting treatment, knowing that the longer treatment is postponed, the
less likely it is to be done. In MOST cases this is NOT necessary.
We will always discuss all fees with you before treatment is started,
and we will gladly address your insurance questions at any time. Again,
we will try to maximize the benefits you receive, but we are here to do
what is best for YOU- not your insurance company.
For those with little or no insurance coverage, we offer our own, in-house,
"D.O.C." dental program:
D.O.C. (Dental Office Comprehensive) Program
Enrollment Period NOW
Term of enrollment: One Year
Program Includes:
1. Two complete examinations
2. Any necessary bitewing x-rays
3. Two Cleanings
Minimum 15% Courtesy Off Standard Fees for ALL Other Treatment (EXCEPT IMPLANTS)
D.O.C. fee must be paid at the time treatment is rendered, or standard fee will apply.
Examples of D.O.C. Program Savings:
| |
Standard Fee |
D.O.C. Fee |
| Porcelain crown |
$1175 |
$998 |
| Root Canal (double) |
950 |
807 |
| Composite (tooth-colored) filling - 3 surf. (front)
|
260 |
221 |
| Tooth Whitening (bleaching) |
475 |
404 |
| Full series X-rays |
155 |
90 |
D.O.C. FEE: $325
Answers to Common Questions:
Q. What if I come in for a check-up, bitewing x-rays and cleaning twice
a year, but have no other treatment?
A. You will save $165 for the year. The D.O.C. Program encourages preventive
dentistry.
Q. And if I need any other treatment?
A. All other treatments (except implants) will be rendered with at least a 15% courtesy off
the standard fees. The more treatment you need, the more money you will
save.
Q. How do I sign Up?
A. Just inform the receptionist- that's it! You will be asked to pay the
yearly fee; there will then be NO additional fee for your check-up and
cleaning TWICE in the next 12 months.
Q. I recently started treatment but I didn't join yet- can I still get
the benefits of the Program?
A. No problem! We will be happy to apply any treatment rendered in the
last 30 days towards the program.
Q. Arc there any deductibles? Any "pre-existing
conditions?"
A. NO!!!
Q. So cosmetic procedures and bleaching are COVERED?
A. YES!!!


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