Q:  What insurance does your office take?

We accept all insurance companies that are willing to pay us. Most PPO and premier plans will pay us as out-of-network insurance providers.

 

Q:  How do I find out what my insurance will cover?

Please call your insurance or check your plan’s coverage online; we can help you, too.

 

Q: How much does my appointment cost?

We will inform you of your appointment fees. However, insurance only informs us of their reimbursement after the claim is submitted.

 

Q:  How does this change my copay?

Your copay is the difference between our service fees and what insurance pays for the service.. Your insurance might change your copay at their discretion without telling us.

 

Q: If my insurance says it covers 100%, why does the patient still have a copay?

Insurance companies try to pay as little as possible. They try to substitute a cheaper procedure for the one actually needed (substitution of benefits/downgrading the code). Insurance also has multiple tiers of “allowable fees” that are much lower than our zip code's usual and customary fees.

 

Q:  Can I use my HSA/FSA card for this?

Yes, you can use your HSA/FSA card. Please have your PIN handy.

 

Q:  Where will my reimbursement check be sent?

Checks are usually sent to you, but sometimes, they are sent to us. Please provide an accurate address to which checks should be sent. We will reimburse you if the check is sent to us.

 

Q: Do I need to pay up front for my appointment?

Yes, we will collect up front for all your appointments if your insurance reimburses you directly. However, we will only collect your co-pay if your insurance sends the check to us.

 

Q: How long will it take for my insurance to reimburse me?

Insurance companies typically take four to six weeks to pay a claim. Secondary insurances will take another four to six weeks after the first insurance pays.

 

Q:  What do I do when I haven’t received my insurance check after a few months?

Patients can call us if  insurance companies are negligent. We can contact the insurance company and follow up on the claim.

 

Q:  What if I don’t have dental insurance?

Uninsured  patients may ask about our special In-Office membership plan. This plan provides a substantial discount on our fees and is only offered at our discretion.

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For more details on the in-office membership or have any follow up questions or concerns, please do not
hesitate to email or call our office at (510) 523-5323 during our business hours. We are here to help!