Dear Patient:
Thank you for choosing our practice for your dental implant needs.
Our primary concern is your health, your surgical care, and your comfort. The ever-improving level of care comes at a cost, a cost to all of us.
The confusion of the present managed health care in this country has forced us to become very cautious and straightforward with the financial aspects of your care. Please take the time to read this statement.
Payment for service is expected at the time of service. We accept cash, personal checks, and popular credit cards. In an attempt to curtail the upward spiral of costs to you, we have refrained from “billing”.
As a courtesy to you, our office will be glad to assist you in preparing and submitting your insurance claims, provided we have the correct information.
Understand that insurance companies are not “in the business” to pay for all of your health care needs. In fact, their objective is to pay for less while persuading you to believe that they will cover your total health care charges. They are involved in health care to make a profit. Each company has its own forms, codes, and guidelines for coverage. Therefore, we often need your cooperation in dealing with these situations.
At this time, our computer has logged over 300 different health insurers, and the number increases every day.
Realize that your insurance coverage is an agreement between you and your company. Dr. Dachowski is not employed by any insurance company.
We will do all we can to help you receive the maximum benefits. However, we recommend that prior to any visits and/or procedures you call your insurance company to confirm your insurance coverage and benefits. Each individual carries different contracts. As a result. THERE IS NO WAY WE CAN PREDICT YOUR COVERAGE AND BENEFITS!
For example, many Blue Cross plans do not cover simultaneous intravenous anesthesia and surgery. Medicare does not cover surgical procedures related to the teeth or supporting structures, including extractions.
Certain managed care plans do not cover corrective facial surgery or temporomandibular joint surgery.
The standard rule of value applies: “You get what you pay for.”
What makes this even more confusing is that even the present-day “best plans” are regularly denying benefits that they once regularly covered.
If you have insurance that might cover your care, you must supply us with your insurance ID card, policy and group number, insurance for properly filled out, and/or the appropriately managed care referral forms from the primary doctor.
Without this information at the time of your visit, we can not bill your insurance company, and you become directly responsible for the fee.
You are ultimately responsible for the cost of all surgical and diagnostic services. Do not confuse this as our office accepting a partial payment from the insurance as payment in full. You are responsible for any deductible and estimated copayments at the time services are rendered. Those plans that we participate in, we will accept the payment made by the insurance company, however, you are responsible for subscriber liability as dictated by the insurance company.
If the insurance company does not pay within 30 days, your account becomes due and payable by you. You will receive a statement.
We hope this note has cleared up any questions as to your plan for payment of service. If you have a question, please ask us.