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Does a dental patient need to be informed of the upfront and out-of-pocket costs?

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βˆ™ 2015-07-15 21:29:25

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In theory, yes. Most offices can give you an "estimate" of expense, but to know exactly what your insurance plan will pay is difficult. The problem is each insurance plan is different for almost every patient. We can submit a pre-estimate form for the insurance company, but it takes almost 4 weeks for a response. The best course of action: Ask the provider for the fee and dental code# for the procedure- call your insurance company yourself. Remember: They may say they'll pay 80% - but be sure to ask "80% of their fee or 80% of what you allow"? They're often very different numbers.

2015-07-15 21:29:25
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