Most insurance companies respond within four to six weeks, and you will receive a monthly statement.
You are responsible for all fees not covered by insurance. If additional tests are needed such as lab work or a biopsy, you will be billed directly by those providers and will be responsible for submitting payment directly to them.
Your prompt payment is appreciated. Payment arrangements may be considered if discussed in advance of treatment.
Be Sure You Know Your Plan
Every year, dental benefit plans can change. There can be changes to the allowed coverage amounts or percentages, the deductible amounts, and even the maximum amounts. The sponsor of the benefit plan is responsible for communicating these changes to the subscriber, they do not inform providers of any changes. These contracts are between the sponsor/employer and the insurance company issuing the benefit plan. Dental offices have no involvement in the design of the plans.
We try our best to verify each patient’s coverage prior to their visit, but can only verify based on the information we have on file. If you are aware of any changes made to your plan, please let us know at least 48 hours prior to your appointment so that we have time to verify coverage. If we are unable to verify your coverage prior to services being rendered, you may be responsible for all fees incurred.
Our office is considered In-Network providers with the following companies and specified networks:
– Cigna DPPO Total Network (includes GEHA Connection Federal)
– Grid+ Network (includes FEP BlueDental and some Anthems)
– Delta Dental Premier (Dr. Bruce Gilmore)
– Veterans Affairs Community Care Network
We are able to file other plans, even if we are not considered In-Network. Most plans do pay Out-of-Network benefits. The difference between what our fees are and what the plan pays is the patient’s responsibility. Give us a call if you have any further questions. You can also visit our What to Ask When Looking at Dental Benefits page for some questions to consider when shopping around.