| 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. Please call 703-754-1580
to schedule an appointment.
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.
What About Finances?
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 accept cash, personal checks, care credit and most
major credit cards.
Our Office Policy
Regarding Dental Insurance
We are providers for United Concordia, Delta Dental
, and Medicaid.
If you have another dental
insurance please bring your insurance information
with you to your appointment. If we have
received all of your insurance information
on the day of the appointment, we will be
happy to file your claim for you. We will
work with you to ensure that you receive
the maximum benefits to which you are entitled.
You must be familiar with your insurance
benefits, as we will collect from you the
estimated amount insurance is not expected
to pay. By law your insurance company is
required to pay each claim within 30 days
of receipt. We file all insurance electronically
so your insurance company will receive each
claim within days of the treatment. You
are responsible for any balance on your
account after 30 days, whether insurance
has paid or not. If you have not paid your
balance within 60 days a finance charge
of 1.5% will be added to your account each
month until paid. We will be glad to send
a refund to you once insurance has paid
us.
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.
These allowable fees may vary widely because
each company collects fee information from
claims it processes. The insurance company
then takes this data and arbitrarily chooses
a level they call the "allowable"
UCR Fee. Frequently this data can be three
to five years old and 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.
|