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Q & A

How do I use my benefits?

Dental benefit plans may base the amount of coverage on a chart or fee schedule/guide arbitrarily developed by the insurance companies. For this reason, you may receive a lower percentage of the reimbursement level indicated in your dental plan. For example, if your plan pays 80% of the cost of dental treatment, it means 80% of the fee determined by the insurance company, not on the actual fee charged by our office.

Some plans exclude certain types of services, such as orthodontics, while other plans cover a full range of dental services.

Prior to initiating any dental treatment, we always provide an estimate for your proposed treatment. The final decision on any treatment will always be yours.

As a courtesy, we will complete and file your dental claim form for you. If your dental benefit plan requires a pre-determination or prior authorization, we will submit a treatment plan for review by your insurance carrier. We will also help process follow-ups or locate lost claims.

If you change employers or have a change in benefits provider or plan, please remember to let us know. If you bring your new information with you to your appointment, including the plan booklet provided at start-up, we will photocopy it and keep the applicable sections on file.

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