Dr. Joe Simardone Family Dental Care Dr. Joe Simardone Family Dental Care
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DENTAL INSURANCE PLANS

How Often Should You See Your Dentist?
Dental plans vary between providers. While we will recommend a specific schedule that's best for you, some dental plans may provide a different schedule. They may only pay for check-ups every nine months, and in some cases, only once a year. Why? From a dental and overall health point of view, there is no good reason.

Plan providers say they need to contain costs. While it is true that the direct cost of one check-up per year will be less than one check-up every three to six months, what about the cost of neglect? The cost to your health, and even the cost in absolute dollars, isn't worth risking. The cost of neglect is always higher than the cost of prevention. Regardless of what your dental plan provides, consult with Dr. Joe and his team to determine the check-up schedule that is best for you.

Electronic Data Interchange (EDI)
If you are covered by dental insurance and bring in the claim form, we will be happy to complete it for you and depending on your plan provider, we may be able to submit your claim electronically via EDI. We can pre-determine services in advance (many policies request this) in order that patients may understand their policy limitations more clearly. The particular policy purchased by the employer or group will dictate the level of coverage. An estimate will be given to you in writing on the understanding that it is only a guideline from which to work. We require that patients pay the practice the full amount of their treatment and be reimbursed by their insurance company. This will reduce the risk of delay in receiving treatment, which may result from the pre-determination process. Your insurance policy may include clauses, which may limit your benefit.

Our job is to provide you with optimum dental care. We will recommend a schedule specific to the condition of your teeth and gums. Your insurance policy may, or may not, cover your treatment plan. The only way to determine your insurance benefit is by comparing your treatment needs with the description of your coverage. We can help you with this.

Please feel free to discuss your insurance policy with us.

Payment
Professional services are rendered to our patients and not to an insurance company. The insurance company is responsible to the patient and the patient is responsible to the doctor. We cannot render services on the assumption that the charges will be paid for by an insurance company. Thus, our patients are responsible for payment at the time of treatment. We will help in every way we can in filing your claim, handling insurance queries, processing follow-ups and resolving lost claims.

As a courtesy to our patients, we offer a pre-payment discount of 10% on restorative services, regardless of insurance coverage. Senior citizens aged 60 and over, are also extended a 10% discount regardless of insurance coverage but this cannot be combined with the pre-payment discount.

We gladly accept Interac (debit), Visa, MasterCard, and American Express credit cards and cash.


 

 


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