We accept PPO insurance plans and would be happy to verify if we are in-network with your plan. Our office is committed to helping you maximize your insurance benefits. As a courtesy, we will submit your insurance claim for you and do our best to calculate the copay. In the event that your insurance carrier pays less than the estimated amount, you are responsible for the unpaid balance. Regrettably, we do not dictate insurance policies and can only work with them to provide you with an estimate to the best of our knowledge.
If we are not in network with your insurance plan, don’t worry, we make your visit just as easy. We submit the insurance claim on your behalf and collect full payment the day of the visit. Your insurance plan will reimburse you directly based on your contracted coverage amounts. You can expect to receive a check in the mail about 2-8 weeks after the visit. In order to get a detailed coverage breakdown (Explanation of Benefits) from your insurance, you will need to contact your plan directly. We would be happy to provide you with the dental codes needed.
We are unable to accept or bill your insurance if it is an HMO plan, including DeltaCare USA and Medi-Cal Dental. We can still see your child but in this case, you will be responsible for the full cost of the appointment due at the time of service.
WHAT YOU MAY NOT KNOW ABOUT YOUR DENTAL INSURANCE
For employer-based plans, your benefits are established by your employer in coordination with the insurance company to provide coverage or discounts on selected care. Your benefits may not include care that is needed to keep your child healthy. There may be waiting periods during which treatment is not a covered benefit despite coverage being in effect. Every plan is different so it benefits you to know your insurance plan and the benefits they offer, including deductibles and copays.