As a service to our patients, our practice accepts many dental insurance programs. We accept many insurance plans, and please call our office to verify if we currently accept your specific insurance. If your company is not contracted with us, we are considered out of network, and we work to get an estimate from them, based on your benefits, for your estimated co-pay. Sometimes there is not much of a difference between in-network and out-of-network fee schedules. In any case, your referring office sent you here because they knew you would get the best endodontic care there is, so we are willing to help with payment options for your co-pay.
Our staff will prepare all the necessary forms & submit to your insurance. However, we remind you that your specific policy is an agreement between you and your insurance company. Please keep in mind that you are responsible for your total obligation should your insurance benefits result in less coverage than anticipated. Our staff will present you with the pre-treatment estimate based on the information that we gathered from your insurance company. Please remember that its just an estimate & does not guarantee a payment you’re your insurance.
Our staff will gladly submit a pre-treatment estimate to your insurance company if you choose. This is a written assurance from your insurance company which is more accurate than verbal confirmation from an insurance representative over the phone but it can take a few weeks to hear back from them. Please remember its still an estimate.
Please remember you are fully responsible for all fees charged by this office regardless of your insurance coverage.
Dental insurance is one of the most beneficial and most misunderstood factors in dental treatment today.
Endodontic offices are NOT involved in determining which dental services are included, the percentage of fees covered, or whether a specific service is covered at all. Not all dental treatments are covered by all dental insurances. Some endodontic services are completely excluded. Our intent is to provide you with the highest quality of care, but your dental insurance may cover only very basic services catering to their financial incentives. This is the KEY difference between the objectives of healthcare providers & insurance companies. Our goal is to suggest what the best treatment for your specific needs is and NOT based on what your insurance may or may not cover. The specific services covered are based on the cost of the insurance policy to your employer and the amount the insurance company is willing to pay. Although endodontics offers superior treatment results, dental insurance places a limit on how much it will pay toward the endodontic fee. Because insurance companies have an annual maximum benefit, coverage of your root canal therapy will be covered according to your specific plan, and only up to your annual maximum. Once your annual maximum has been reached, the insurance company will not provide additional benefits for any dental service until the renewal period.
Fees and Co-Payments
Each endodontic case is different, and fees vary accordingly. Once an examination and consultation are completed, we will be able to tell you the fee and give you an estimate of how much your dental insurance will cover. Because dental insurance covers only part of the root canal fee, each patient is responsible for paying the remaining balance. This co-payment is the responsibility of each patient and is due when the endodontic treatment is completed. We offer alternate financial options such as CareCredit (www.carecredit.com), so you can opt to use this 3rd party credit option if you choose it. You will be applying for credit directly with CareCredit, and their approval process is fairly simple and can be applied online before making an appointment with us.