INSURANCE, PAYMENTS AND FINANCING DENTAL CARE
Your dental insurance benefits are like a coupon for dentistry!
You may have noticed that sometimes your dental insurer reimburses you at a lower rate than the dentist’s actual fee. Frequently, insurance companies state that the reimbursement was reduced because your dentist’s fee has exceeded the usual, customary or reasonable fee (or fee guide) used by the company.
A statement as this gives the impression that any fee greater that the amount paid by the insurance company is unreasonable, or above what most dentists in the area charge for a specific service.
Each insurance company uses a different set of fees they consider allowable. Frequently, this data can be three to five years old and these “allowable” fees are set by the insurance company so they can make a net profit of 20%-30%.
Unfortunately, insurance companies imply that your dentist is “overcharging” rather than say they are underpaying or that benefits are too low. In general the less expensive the policy, the lower the fees for reimbursement.
Dental insurance is intended to cover some, but not all of the cost of your dental care. Most plans include co-insurance provisions, a deductible, and certain other expenses that must be paid by the patient at the time of services. Reimbursement amounts are not, and never have been, a guideline for quality care.
We can electronically submit most insurance claims for you. Please bring your insurance plan information with you on your first visit. We will work with you to ensure that you receive the maximum benefits to which you are entitled.
We are a fee-for-service dental provider. Payment is due in full at the time services are rendered. We accept cash, Visa, MasterCard, and Interac direct payments for goods and services. If you have dental insurance, we will be glad to submit your insurance claim electronically, whereby you will be reimbursed directly by your insurance carrier, usually within five business days.
We are happy to offer patient financing through Dental Card. This company allows you to borrow the money needed to pay for your dental care at rates much lower than financing through credit card use. Applications for dental financing are done online at www.dentalcard.com. Think it’s odd to borrow money for dental care? Not at all! We have many patients who take advantage of dental financing to pay for great quality comprehensive dental care. You would finance a car and likely only have that a few years, but investment in your mouth is also an investment in your overall health…the benefits of that can last a lifetime!
Dr. Andrea Stevens is a cosmetic and family dentist in practice in Kanata, Ontario. If you have dental questions, you can call her at 613-271-7091 or visit her at kanatacosmeticdentist.com Please also feel free to leave comments or questions below, and Dr. Stevens will be happy to answer!