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Do I Stay with My Child During the Visit?
What About Finances?
Our Office Policy Regarding Dental Insurance

How are Appointments Scheduled?
The office attempts to schedule appointments at your convenience and when time is available. Preschool children should be seen in the morning because they are fresher and we can work more slowly with the child for their comfort. School children with a lot of work to be done should be seen in the morning for the same reason. Dental appointments are an excused absence. Missing school can be kept to a minimum when regular dental care is continued.
Since appointed times are reserved exclusively for
each patient we ask that you please notify our office 24 hours in
advance of your scheduled appointment time if you are unable to keep
your appointment. Another patient who needs our care could be scheduled
if we have sufficient time to notify them. We realize that unexpected
things can happen, but we ask for your assistance in this regard.
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Do I Stay with My Child During the Visit?
We invite you to stay with your child during the
initial examination. During future appointments, we suggest you allow
your child to accompany our staff through the dental experience. We can
usually establish a closer rapport with your child when you are not
present. Our purpose is to gain your child's confidence and overcome
apprehension. However, if you choose, you may come with your child to
the treatment room. For the safety and privacy of all patients, other
children who are not being treated should remain in the reception room
with a supervising adult. A parent or legal guardian is required to
accompany patient to each appointment.
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Payment for professional services is due at the time dental treatment is provided. Every effort will be made to provide a treatment plan which fits your timetable and budget, and gives your child the best possible care.
We do not participate with any HMOs. We accept
cash, check, Visa, MasterCard and MAC.
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Our Office Policy Regarding Dental Insurance
If you have dental insurance, we will accept assignment of benefits (the part that insurance pays) as partial payment. After we receive payment from your insurance company we will send you a bill for the difference. The difference between our fees and the amount that your insurance pays us is your responsibility.
If you have Delta Dental, Blue Shield or United Concordia dental insurance, payment is due at the time of service. These insurance companies do not send payment to a dentist who does not participate with them. These insurance companies will issue you a check based on their payment schedules.
PLEASE UNDERSTAND that we file dental insurance as a courtesy to our patients. We do not have a contract with your insurance company, only you do. We are not responsible for how your insurance company handles its claims or for what benefits they pay on a claim. We can only assist you in estimating your portion of the cost of treatment, we at no time guarantee what your insurance will or will not do with each claim. We also can not be responsible for any errors in filing your insurance, once again we file claims as a courtesy to you.
Fact 1 - NO INSURANCE PAYS 100% OF ALL PROCEDURES
Dental insurance is meant to be an aid in receiving dental care. Many
patients think that their insurance pays 90%-100% of all dental fees.
This is not true! Most plans only pay between 50%-80% of the average
total fee. Some pay more, some pay less. The percentage paid is usually
determined by how much you or your employer has paid for coverage or the
type of contract your employer has set up with the insurance company.
Fact 2 - BENEFITS ARE NOT DETERMINED BY OUR OFFICE
You may have noticed that sometimes your dental insurer reimburses you
or the dentist 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 ("UCR") used by the company.
A statement such as this gives the impression that any fee greater than
the amount paid by the insurance company is unreasonable or well above
what most dentists in the area charge for a certain service. This can be
very misleading and simply is not accurate.
Insurance companies set their own schedules and each company uses a
different set of fees they consider allowable. The insurance company then takes this data and arbitrarily
chooses a level they call the "allowable" UCR Fee. Frequently these "allowable" fees are set by the
insurance company so they can make a net 20%-30% profit.
Unfortunately, insurance companies imply that your dentist is
"overcharging" rather than say that they are "underpaying" or that their
benefits are low. In general, the less expensive insurance policy will
use a lower usual, customary, or reasonable (UCR) figure.
Fact 3 - DEDUCTIBLES & CO-PAYMENTS MUST BE CONSIDERED
When estimating dental benefits, deductibles and percentages must be
considered. To illustrate, assume the fee for service is $150.00.
Assuming that the insurance company allows $150.00 as its usual and
customary (UCR) fee, we can figure out what benefits will be paid. First
a deductible (paid by you), on average $50, is subtracted, leaving
$100.00. The plan then pays 80% for this particular procedure. The
insurance company will then pay 80% of $100.00, or $80.00. Out of a
$150.00 fee they will pay an estimated $80.00 leaving a remaining
portion of $70.00 (to be paid by the patient). Of course, if the UCR is
less than $150.00 or your plan pays only at 50% then the insurance
benefits will also be significantly less.
MOST IMPORTANTLY, please keep us informed of any insurance changes such as policy name, insurance company address, or a change of employment.
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Copyright © 2007 Eric S. Hans, D.M.D. All Rights
Reserved.
Pediatric Dentists serving infants, children and teens in Trappe, Collegeville,
Schwenksville, Upper Providence, Limerick, Linfield,
Royersford, Phoenixville, Lower Providence, Perkiomen, Eagleville, Audubon,
Oaks, Trooper, Lower Pottsgrove, Pottstown, Skippack,
Worchester, Evansburg, Norriton and Harleysville, PA.
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