|
Prepay Courtesy
(for fees over $2,000)
A
prepayment courtesy of 5% ( 10% if
Senior Citizen, over 60 ) will
be subtracted from the total patient obligation
(not from any portion due from insurance company) if
the patient obligation is paid in full at
the first treatment visit.
Dental Fee Plan (for
fees over $1,500)
With
fast approval over the phone from CareCredit, your
payments can be much lower than those available through
our office. We will assist you in contacting them from
our office.
Three Payments (for fees over
$1,000)
Total
patient obligation may be divided as follows: 50% due
at the first treatment visit , with
the remaining balance split into two
equal payments , due 30 and 60 days after
the first treatment visit. For any fees under
$1,000, the full amount is due at the initiation of
any procedure. Note: balance payments will be written at
the initiation of treatment, "post-dated" for 30 and
60 days - our guarantee: If a post-dated payment is
deposited prior to the date on the face of the check
(or credit card slip) we will credit your account for
an amount equal and in addition to that
payment
Pay as You Go
You
may choose to pay your obligation for each visit, at the
visit.
FORMS
of PAYMENT and BALANCES DUE
In order to facilitate access to the very best
health care possible, you may choose from any of the
following (including any combination thereof): Cash,
Visa, MasterCard, American Express, Discover, Money
Order, Personal Checks, or Dental
Fee Plan (see above) .
INSURANCE
It is our pleasure to assist you in maximizing
your insurance benefit by completing your claim forms. If
your carrier is up to date (in over 70% of the cases),
the claims will be transmitted via computer modem before
the end of the treatment day! As a courtesy,
in addition to filing the claim, if you prefer we will
initially ask you only for your estimated copayment. Please
understand that this is only an estimate ,
and is based upon the information available to us.
The range of benefits depends solely on what
your employer wishes to purchase . Some
plans cover as little as 30% or as much as 100% of
dental services, with most falling in the 40% to
80% range.
Some plans base the amount of benefit on a schedule
of fees arbitrarily developed by insurance companies. For
this reason, you may receive a lower percentage than
the reimbursement level indicated in your dental plan. For
example, if you plan states that it will pay 80% of
the cost of a specific treatment, it means 80%
of the fee arbitrarily determined by the insurance
company and not the actual fee charged by
our office.
The financial obligation for dental treatment
is between you and our office. The insurance
company is responsible to your, and not
to our office. We will assist you in
any way that we can (including our brand new high tech "electronic
claims submission"). Once your carrier has paid
the claim, any difference will be due upon receipt of
our statement. If for any reason , we
have not received your insurance carrier's
payment 90 days after the claim, the remaining
balance will be due and payable by
you .
|