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Oral Health and Dental Care
Dental Insurance and Financing Dental Care

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


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2015-07-15 21:29:25
2015-07-15 21:29:25

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.

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The dental laboratory is located in a separate area of the dental office(away from the patient treatment area).

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This really depends on the plan that you have with your employer. Most of the time sedation is not covered through your dental insurance but you can possibly get some coverage through your medical insurance. You will need to provide a narrative explaining why it is necessary for the patient to have sedation. Most dental insurances do not recognize sedation as being a necessity for the patient that is why you can either get reimbursed from your medical insurance company on the monies that you pay to the dental office. Some dental offices will submit to your medical for you. This is rare but some do that for the patient which is very convenient.

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Refund the money to the insurance company and bill the patient for the difference.

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Plaza Dental Group. Your dental home for comprehensive health care serving patients for over Twenty Five years. Our family dental practice provide patient.


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