Dental Insurance Information
We want to make using your dental insurance as simple and easy to understand as possible. Because every dental insurance plan is different, it is important to know how your specific plan works before receiving treatment.
Delta Dental Premier
Our office is in-network with Delta Dental Premier. This is the only dental insurance plan with which we currently have a contractual agreement.
If you have Delta Dental, please contact Delta Dental to confirm that your specific plan includes Delta Dental Premier benefits and to learn which services are covered under your plan.
Other PPO Plans
If you have a PPO dental insurance plan other than Delta Dental Premier, you may still be able to use your dental insurance benefits at our office.
We are considered out-of-network with all other PPO insurance providers. As a courtesy, we will help prepare and submit your dental insurance claim to your PPO insurance company.
HMO Plans
We do not accept or participate in HMO dental insurance plans.
HMO plans generally require treatment from a dentist who participates in the plan's HMO network. Because our office does not participate in HMO networks, HMO benefits cannot be used for treatment here.
Using Out-of-Network PPO Benefits
Because we are an out-of-network dental office for PPO plans other than Delta Dental Premier, the amount your insurance company pays may differ from what it would pay an in-network dentist. Your individual plan determines your deductible, annual maximum, percentage of coverage, allowable fees, and other benefits.
Please contact your dental insurance company directly before your appointment if you would like to understand what your PPO plan may cover at our office. Tell the representative that you are considering care from an out-of-network provider and ask them to explain your out-of-network PPO benefits.
Questions to Ask Your Insurance Company
Having these answers before your visit can help you better understand your benefits and possible out-of-pocket costs:
- Does my PPO plan include out-of-network dental benefits?
- Do I have an out-of-network deductible, and how much is it?
- What is my annual dental benefit maximum?
- How does my plan determine the allowable or covered amount for an out-of-network dentist?
- Will I be responsible for the difference between the dentist's fee and the amount recognized by my plan?
- Are there waiting periods, frequency limitations, exclusions, or other restrictions that may affect my coverage?
- Is preauthorization or a pre-treatment estimate recommended for any planned procedures?
Your insurance company is the best source for information about your specific policy because coverage and benefits vary from one plan to another.
Understanding Your Dental Benefits
We are happy to submit insurance claims for patients with eligible PPO benefits, but your dental insurance company determines which services are covered and how much it will pay.
Before scheduling treatment, we encourage you to contact your insurance company and verify your benefits, particularly if you will receive care from us as an out-of-network PPO patient.