Our insurance coordinators deal with many different insurance companies. Some companies offer many different dental and medical plans. These companies can change benefits, co-pays, and deductibles many times throughout the year. We do our best to provide you with accurate coverage estimates based on information available to us. At times, it is almost impossible to accurately estimate a patient’s insurance co-payment. Many insurance companies will not give out fees until after the treatment is completed. Dealing with these companies can be difficult and time consuming. As a courtesy, we ask that you keep us informed of any change to your insurance. It is important that all information about you and your insurance is current.
Although we will gladly file a claim on your behalf, you may also request to file the claim yourself.
Further, most dental insurance policies are limited and often only pay for a portion of the procedure(s) that may need to be done.
Co-Payment
The majority of dental plans reimburse approximately 30-80 percent of treatment costs. With this in mind, we ask co-pays be paid at the time of treatment.
HMO Patients
If a patient comes to us with a problem such as a biopsy that they expect to be covered by medical insurance and if not covered by the dental insurance, insurance will be pended minus any deductible or co-pay.
If an injury case, all information must be provided regarding the history of the injury. If a medical referral is necessary, obtaining the medical referral is the patient’s responsibility. We cannot obtain the referral for you and the referral cannot be obtained retroactively. Injuries are rarely paid by a medical insurance. We are happy to file the insurance if any indication is provided by the medical carrier that payment could be possible. Unless the carrier submits written verification that they will cover any procedures, payment must be made at the time of the visit, and claims will be submitted to have the patient reimbursed.
Medicare
We are currently not a Medicare provider.
Private & Group Information
As a courtesy to our patients with medical and/or dental benefit plans, we will submit necessary claim forms, receipts, and other information to your insurance company.
Upon receipt of an insurance payment, any balance due will be billed to you. If you have deposited an excessive co-payment, it will be refunded to you.
Our office is happy to file any dental insurance and pend any confirmed benefits to the carrier. We are currently preferred providers for the following insurance companies: BC/BS of Alabama, Delta Dental, Southland, and Cigna.