We accept many different insurance plans and will help you understand what is covered on your plan and also, as a courtesy, we will file the claims for dental treatment, saving you the time and hassle of doing it yourself. We provide you with the best financial coordinators to help you maximize your dental benefits and minimize your out-of-pocket cost. We always make sure to be upfront and honest about what you will have to pay for and what your dental plan will cover.
We accept many different types of insurance plans, but here is a short list of some of the plans we take:
- Anthem Blue Cross
- United Health Care
If your insurance provider is not on this list, please call out office to find out of we accept your current plan: East Valley: | San Tan Valley:
What Is A Covered Benefit?
The main types of treatments that are covered are those that your dentist recommends, that is listed on the fee schedule, and that is accepted under the terms on your current insurance provider.
What’s Optional Treatment
When you are told that a specific type of treatment is optional, that means that it is not listed on your fee schedule, or it is more than minimum to restore the tooth back to its original functionality.
What’s The Difference Between Indemnity, PPO & HMO?
Indemnity or Traditional Insurance reimburses members or dentists at the dentist’s UCR (Usual, Customary & Reasonable fee). This allows the subscriber to go to any dental office without being limited to a panel.
(Preferred Provider Organization) is the most common form of insurance. They provide members with a list of participating dentists to choose from. The dentists on this list have agreed to a lower fee schedule, which provides you with greater cost savings. They also assist with insurance billing. Most companies pay 50% on major treatment (crowns, bridges, partials), 80% for basic care (fillings), and up to 100% for preventative care (exams, x-rays, basic cleanings). Annual maximums generally range from $1,000 to $2,000.
Also known as capitated or prepaid insurance, was designed to provide members with basic care at the lowest rate. Participating providers receive a monthly capitation check for patients assigned to the office. This amount is only a few dollars and is intended to offset the administrative costs. HMOs generally don’t pay for services rendered. Fees are usually greatly reduced, but the patient is solely responsible for paying the doctor.