
How are Appointments Scheduled?
Our Office Financial
Policy and Insurance Policy
What if your child needs
treatment?
Office Policy Regarding Balances
Facts that you
should know about Dental Insurance
How are
Appointments Scheduled?
We are aware of school policies
which make it more difficult for children to be out of school for any
reason. However, MEDICAL and DENTAL appointments are EXCUSED ABSENCES with
a doctor’s school pass and signature stating the child was in the office.
We would like to see all school-age
patients after school: however, this is not possible. Therefore, to make
certain everyone has an opportunity for an “after-school” appointment”, the
following guidelines have been created to better serve our patients. Please
help us help your child and others by not asking for exceptions.
1. Children
under 6 years of age will only be scheduled between the hours of 8:00 am and
12:00 noon. This schedule leaves after-school hours open for school-age
children. When your child turns 6 years old, he/she will have access to
after-school appointments.
2. All
heavy restorative (fillings, crowns, etc.) procedures are scheduled in the
morning. Children, as well as adults, are more prepared and typically are
more cooperative in the morning for those types of appointments. As much
work as possible will be completed during each appointment. Light
restorative procedures can be completed between2:00 pm and 4:00 pm.
3. Six
month oral exam and prophylaxis appointments for school-age children will
alternate between morning and after-school hours. This means that you will
be asked to bring your child in during school hours one time per year for
re-care appointments.
4. Please
plan to arrive 5 minutes before your scheduled appointment. This will allow
time for you to complete any necessary paperwork. If you happen to arrive
10 minutes late for your appointment, you may be asked to re-schedule for
the next available appointment time as a courtesy to the next scheduled
patient/patients who have arrived on time. If we are able to complete some
of the scheduled treatment rather than all that was scheduled, we will make
every effort to do so.
5. If
for any reason you are unable to keep an after-school appointment, the
missed appointment will be re-scheduled during school hours so that we may
maintain a pattern of every other appointment being after school.
Your cooperation with these
guidelines is greatly appreciated. We appreciate that you have chosen our
office for your child’s dental care.
Preschool children should be seen in the
morning because they are fresher and we can work more slowly with the child
for their comfort. School children with a lot of work to be done should be
seen in the morning for the same reason. Dental appointments are an excused
absence. Missing school can be kept to a minimum when regular dental care is
continued.
Since appointed times
are reserved exclusively for each patient we ask that you please notify our
office 48 hours in advance of your scheduled appointment time if you are
unable to keep your appointment. Another patient who needs our care could be
scheduled if we have sufficient time to notify them. We realize that
unexpected things can happen, but we ask for your assistance in this regard.
Back to Top
Financial Arrangements
and Insurance Policy
We welcome your child
and family into our practice and we will strive to make your child's dental
experience positive and pleasant. We are committed to providing your child
with the highest standards of dental care. In order to achieve these goals,
and focus on caring for your child, we need your assistance and
understanding of our financial policy.
Payment for professional services is due
at the time dental treatment is provided. Every effort will be made to
provide a treatment plan which fits your timetable and budget, and gives
your child the best possible care.
We accept
cash, check, Visa, MasterCard, Discover and American Express.
Our Office Policy
Regarding Dental Insurance
The sooner you have
completed the online registration and we have received all of your insurance
information, we can verify your insurance coverage and benefits prior to the
appointment. When we have received all of this information we will be happy
to file your claim for you. You must be familiar with your insurance
benefits, as we will collect from you the estimated amount insurance is not
expected to pay. PLEASE UNDERSTAND that we file dental insurance as a
courtesy to our patients. We do not have a contract with your insurance
company, only you do, with the exception of, Delta Dental and AHCCCS
policies.
We are not responsible
for how your insurance company handles its claims or for what benefits they
pay on a claim. We can only assist you in estimating your portion of the
cost of treatment. We at no time guarantee what your insurance will or will
not do with each claim. We also can not be responsible for any errors in
filing your insurance. Once again we file claims as a courtesy to you.
By law your insurance
company is required to pay each claim within 30 days of receipt. We file all
insurance electronically so your insurance company will receive each claim
within days of the treatment. You are responsible for any balance on your
account after 30 days, whether insurance has paid or not.
Back to Top
What if your child needs
treatment?
If you have dental
insurance, we will verify your policy and benefits. However, insurance
companies do not always release specific information regarding coverage.
Please understand that all insurance policies are different and contain
various provisions and limitations. At your child's evaluation
appointment, we will provide a written estimate of your out of pocket
expense for services that exceed your estimated insurance coverage.
We will outline your estimated portion due for each treatment appointment.
Please remember that
Insurance companies will not
release the exact amount they will pay for a procedure until the treatment
is completed and the claim is submitted. They will only state the percentage
of their fee schedule that they will cover.
Back to Top
Office policy regarding
balances
If there is
any under payment made by
your insurance company the balance is your responsibility. You will receive
a statement reflecting the balance, and we ask that you pay your remaining
portion within 30 days of the statement date.
If you have not paid your
balance within 30 days of the statement date, we reserve the right to charge
a re-billing fee of 1.5% that will be added to your account each month until
paid. If
we have not received payment from your insurance company within 45 days of
the service being rendered, you will be responsible for the balance. If
your account has been overpaid we will be glad to send a refund to you.
Our office reserves the right to stop filing your insurance if at any time
there is a problem with your account because of your carrier, or your
unwillingness to cooperate.
Back to Top
Facts you should know
about Dental Insurance
In an effort to help you
understand your insurance policy and maximize your insurance benefits, we
would like to share some facts about dental insurance with you.
FACT #I
- Dental insurance is a contract between you,
your employer and the insurance company. We are not a party to that
contract.
FACT #2
- Dental insurance is NOT meant to cover all fees. It is meant to be
an aid to your investment in your child’s dental healthcare. Many routine
dental services are not covered by dental insurance.
FACT #3
- NO
INSURANCE PAYS 100% OF ALL PROCEDURES
Dental insurance is meant to be an aid in receiving dental care. Many
patients think that their insurance pays 90%-100% of all dental fees. This
is not true! Most plans only pay between 50%-80% of the average total fee.
Some pay more, some pay less. The percentage paid is usually determined by
how much you or your employer has paid for coverage or the type of contract
your employer has set up with the insurance company.
FACT #4
- Usual, Customary or Reasonable Fees, UCR, a term used by your insurance
carrier, is an arbitrary amount which the insurance company chooses to pay
for each procedure. It is not based on the average charge of practicing
specialist in the area; it is merely the "allowable"
amount they will reimburse
so they can make a net 20%-30% profit. Our fees are within range of other
pediatric dental offices in the area.
FACT #5
- Insurance companies will not release the exact amount they will pay for a
procedure until the treatment is completed and the claim is submitted. They
will only state the percentage of their fee schedule that they will cover.
We will make every effort to
assure you receive maximum benefits. We will file your insurance at no
charge. In order to provide this service, we ask that you please keep us
informed of any insurance changes such as policy name, insurance company
address, or a change of employment before each appointment.
Please do not hesitate to
ask questions about our financial policy. We want you to be comfortable in
dealing with these matters. If you have any questions regarding your
insurance, we ask that you contact your company regarding the specifics and
details of your plan.
Back to Top |