Dental Insurance | What Is Covered?

Regarding insurance, we accept almost all PPO insurances. Currently, we do not accept HMO, Medicaid, Medicare, or Medi-Cal plans, however we do offer patient financing options for those patients who qualify. As a courtesy to all of our patients, we take care of the claim filing and processing.

Dental insurance can be tricky to understand as most insurance policy documents are many pages long. The coverage for each dental service also depends on your individual policy, which can vary greatly if your policy is individual, or one provided by your employer. Luckily, we are here to make sense of insurance policies to ensure you receive the proper treatment and that your insurance provider covers their share. We may do this by submitting the claims on your behalf, calling your insurance provider to find out more about your coverage limits, or providing you with all the paperwork so you can handle the insurance claims with ease.

It would be helpful for you to know your insurance coverage information before coming in as this will help speed along your treatment plans. Some of the questions we usually ask insurance providers include:

• What is covered?
• How much is covered?
• What is the coverage limit amount?
• Is there a deductible? (if so, how much?)
• Can I choose other procedures not listed on the plan but are in the same category of treatment?
• Please provide all the details regarding this specific treatment option (provide treatment option)

It is important to note that insurance carriers do not release information to third parties (including dental practices) even if we have informed and signed consent. So, we will do our best to ensure you know your limits before any procedures and treatment plans are started. It is also important to note that regardless of the insurance coverage, the patient is responsible for the cost of service. We may provide financing options depending on your individual situation and any patient who is looking for assistance should speak with our practice upon booking their next appointment.