Office Policies

Do You Allow Parents Back For Treatment?

Dr. Brett and his staff encourage parents to accompany their children for all new patient visits and subsequent cleaning visits.  For treatment visits (fillings, extractions, etc) parents are always welcome; however, Dr. Brett recommends parents and other caregivers remain in the waiting room.  Experience has shown that children tend to do better when their attention can be focused in one direction.  Dr. Brett has extensive training in behavior management and will work with your child in a way that allows them to understand each step of the visit. Part of the goal is to give children the confidence that they can ‘do it on their own’.  There’s nothing better than seeing a proud child leaving after treatment, eager to tell mom or dad how great they did!  In preparation for your child’s visit, we ask that you avoid words like “drill”, “needle”, or anything similar that may scare a child.  Dr. Brett and his staff will present things in a more child-friendly manner.

 

Appointments

Your scheduled appointment is reserved specifically for your child.  Any change in this appointment affects all of our patients.  If a cancellation is unavoidable, please call the office at least 48 hours in advance so that we may give that time to another patient.  If two (2) broken/missed appointments occur or two (2) cancellations without 48-hour notice, our office reserves the right to NOT schedule any subsequent appointments.

We understand that it’s challenging for parents to schedule their child’s visits within their busy schedule, so we will make every attempt to accommodate your requests.  Dr. Brett is willing to see younger children in the afternoon for restorative treatment (fillings, extractions, etc) if necessary.

 

Payment

Please familiarize yourself with the information that follows. If you have any questions, please feel free to ask one of our business office staff.

Please understand that payment of your bill is considered a part of your child’s treatment. While we will accept assignment of benefits from your insurance company, you will be responsible for the full balance including any amount that is not paid by your insurance company.  If your insurance covers 100% of preventative treatment, there is typically no charge up front for new patient visits.  Our staff is happy to verify your specific insurance plan information prior to you coming. We accept cash, personal checks, MasterCard, or Visa.  Additionally, we offer easy interest-free payment plans through CareCredit. Please let us know if you would like more information.

 

Insurance

There is no direct relationship between our office and your insurance company.  The type of plan chosen by you, and/or your employer determines your insurance benefits.  As such, we have no say in the selection of your insurance company, no control over the terms of your contract, the methods of reimbursement or the determination of your insurance benefits.  We will accept assignment of benefits from your insurance company, however you are responsible for the full balance including any amount that is not paid by your insurance company.

Pre-treatment Authorization: Some insurance companies recommend an estimate of the work to be done and the fees to be charged before determining their benefits to you.  If so, we will provide you with the pre-treatment fee estimate.  In this case, it will be up to you to determine if you wish to proceed with treatment before the insurance benefit is determined.

Insurance Facts
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 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.