All treatment estimates are based on information provided to us by your insurance plan. However, the insurance company does not always provide us with a complete and thorough cost breakdown. As a result, we can only provide an insurance estimate based on limited information. Your plan may have certain restrictions such as waiting periods, frequency limitations, age limitations or non-covered services. These limitations and restrictions are not factored in when your insurance plan provides the estimate but affect the insurance plan’s final payment amount.
Only after a claim is submitted and reviewed by your insurance plan can final payment from your insurance plan be determined. Plan benefits from the same insurance company can often differ significantly by employer
Since your insurance plan is a contract between you and your insurance company (that your employer has selected), you are responsible for all fees not paid by your insurance plan. In the event that your insurance plan does not make complete payment for services rendered, you are ultimately responsible for the remaining balance within 30 days from the billing date.
If you would like to know how your plan will work in our office, please call us! As a courtesy, we will contact your dental plan to find out the details on your behalf.