As a courtesy to you, we will help you process all of your dental insurance claims. Insurance coverage is subject to eliminations, exclusions, waiting periods, frequencies, age restrictions, deductibles, and maximums. It is your responsibility to be familiar with your dental plan. You may need to contact your insurance company to obtain your dental plan benefit information. We will provide you with an insurance estimate. This however is not a guarantee that your insurance will pay the exact amount estimated. Your benefits may differ due to a number of reasons as stated above. Your insurance company and your plan benefits ultimately determine the amount paid. Our office is committed to providing the best treatment for our patients. All charges you incur will be your responsibility, regardless of what your insurance covers. We must emphasize that as your dental care provider our relationship is with you, our patient, not your insurance company.
you to be up to date with your coverage.
We ask that you please read and sign this letter as confirmation that you understand our office expectations. You will be given a copy to keep for future reference.
Thank you for coming to our office. We look forward to getting to know you and your family.