What Insurance Do You Accept?
At Professional Dental Associates, our insurance coordinator deals with many different insurance companies. Insurance companies offer many different dental plans. These companies can change benefits, co-pays, and deductibles many times throughout the year. We do our best to provide you with accurate coverage amounts based on information available to us. At times, it is almost impossible to accurately estimate a patient’s insurance co-payment. Many insurance companies will not give out fees until after the treatment is completed. Dealing with these companies can be difficult and time consuming. As a courtesy, we ask that you keep us informed of any change to your insurance. It is important that all information about you and your insurance is current.
Our office participates with the following insurance companies:
- Aetna PPO
- Cigna PPO
- Delta PPO
- Dentemax Network
- Empire BC/BS PPO
- Guardian PPO
- Humana PPO
- Lincoln Financial PPO
- MetLife PPO
- Principal Life PPO
- SunLife Financial PPO
- United Healthcare PPO
If you have an insurance that we do not participate with, we will gladly file a claim on your behalf or you may wish to submit the claim yourself for reimbursement. In general, insurers process claims filed directly by patients faster than those filed by the service providers (dental offices).
Further, most dental insurance policies are limited and often only pay for a portion of the procedure (s) that may need to be done.
The majority of dental plans reimburse approximately 20-80 percent of treatment costs. With this in mind, we ask that 50 percent of the fee be paid at the time of treatment.
Private & Group Insurance
As a courtesy to our patients with dental benefit plans, we will submit necessary claim forms, receipts, and other information to your insurance company.
Upon receipt of an insurance payment, any balance due will be billed to you. If you have deposited an excessive co-payment, it will be refunded to you.