What Does Out-of-Network Mean?
Although we accept insurance, we are “Out-of-network" with all insurances. What does that mean for you?
• We handle all insurance claims submission to your PPO insurance, provided they have out-of-network benefits. This simplifies the process, sparing you from dealing directly with insurers. It's similar to being in-network, as we submit all required forms and are reimbursed by your insurance carrier. We are not a fee-for-service office, which typically requires upfront payment for procedures, leaving insurance responsibility to patients.
• Being out-of-network allows us to bill our fees, not those established by the insurance company, ensuring we can allocate the appropriate amount of time for your care.
• As a courtesy, we'll submit your claim to your PPO plan if it offers out-of-network benefits and is willing to pay us directly.
• To determine how your insurance covers our services, the most accurate approach is for us to contact them directly, which we are happy to do. It's important to note that our diagnoses and treatment recommendations prioritize optimal dental care over insurance coverage limitations.
• While we aim to help you maximize your benefits, please understand that you remain personally responsible for your account.