We feel strongly that our patients deserve the best possible dental care we can provide. In an effort to maintain a high quality of care, we would like to share some facts with you regarding your dental insurance.
*You may receive a letter from your insurance company stating that dental fees are higher than usual and customeary . An insurance compay surveys a geographic area, finds the average fee and takes 90% of that fee and considers it customary. Included in the fee survey are discount clinics which bring down the average. Any doctor in private practice will have fees that are considered higher than average.
*Dental insurance is not meant to be a PAY-ALL; it is only meant to be an aid.
*Many plans say their insured will be covered “up to 80% or up to 100%” but they do not clearly specify plan fee schedule allowance, annual maximum, or limitations.
*It has been the experience of many dentists that some insurance companies tell their insured that “fees are above the usual and customary fees” rather than saying “our benefits are low”.
*Many routine dental services are NOT covered by insurance.
*You are not required legally to submit predeterminations to your insurance carrier. This only serves to delay treatment and gives your dental insurance company a chance to deny needed treatment. Please do not allow an insurance carrier to dictate what is right for you.