Dental Insurance Answers

Quick Answers To Your Dental Insurance Questions

Providing quality dental care for your infants, children and teens is our primary concern. In order to meet the needs and requests of our patients, our practice accepts most major insurance plans. If you are unsure of your insurance coverage or have questions, please contact our Billing and Insurance Specialist at 715-726-1060. Our office staff is always available to help you with insurance claims and paperwork.

Why are your dental benefits different from what you expected?

Your dental insurance may vary for a number of reasons:

  • You have already used some or all of the benefits available from your yearly dental benefits.
  • Your insurance plan paid only a percentage of the fee charged by your dentist.
  • The treatment you needed was not a covered benefit.
  • You have not yet met your deductible.
  • You have not reached the end of your dental insurance plan’s waiting period and are currently ineligible for coverage.

Why isn’t the current recommended dental treatment a covered benefit?

We¬†diagnose and provide treatment based on your children’s dental needs and our professional judgment, and the cost of the dental care. Some employers or insurance plans exclude coverage for necessary treatment as a way to reduce costs. Your plan may not include a particular treatment or procedure.

How do you know what your payment portion will be if your insurance does not cover the entire fee?

Your payment portion will vary according to your maximum allowable benefits and other factors. Ultimately, the patient portion is not known until the insurance check has been received by our dentist office.

Where/when do you pay your portion not covered by insurance?

Some dentists sign contracts with dental insurance carriers and agree to accept or take the payment offered by the insurance company as payment in full, even though it may not be the same amount that the dental office charges for a procedure. These dentists are participating providers in your plan.

What if you still have dental insurance and/or billing questions?

Our Billing and Insurance Specialists will do their best to answer your questions: 715-726-1060.