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Insurance & Financial Policy

 

Insurance & Financial Policy

INSURANCE COVERAGE: 

Since oral surgery can involve dental and medical procedures, we will ask for both dental and medical insurance information. After your treatment we will submit the claim to the appropriate insurance carrier(s). You are responsible to understand your network benefits, limitations and policies. You may want to check with your benefits office if you have any questions about your coverage. We will call your insurance company after your initial visit to check your benefits but we cannot guarantee that your insurance company will cover any given procedure. You are responsible for deductibles, co-insurances, co-payments and ALL NON-COVERED expenses incurred on the day of services rendered.

INSURANCE PROCESS:  You are responsible for co-payment, co-insurance, deductibles and ANY NON-COVERED expenses. With out of network or traditional insurance we require 20% of our fee at the time of the visit which is applied to your account. We ask that your portion of payment that insurance is not covering is collected before services are rendered. We supply the insurance companies with all codes, x-rays and pathology reports pertaining to your submitted claim within the privacy guidelines of H1PAA. Insurance companies have 30 days by Federal Law to pay or deny any claim,

HIPAA:  (Heath Insurance Portability and Accountability Act) Our staff is HIPAA compliant to safeguard the privacy of all our patient's healthcare information. A copy of the notice of Privacy Practices is on display in the office waiting room.

 

 

  
Insurance Participation List
 
  • AIG – Medical & Dental (all plans)
  • AETNA – Medical (all plans) & Dental PPO, PDN, EPP & Affordable Health Choices
  • Non par w/ DMO
  • Ameriplan
  • Ameritas 
  • Anthem
  • Assurant
  • Cigna (dental)
  • Connection (dental)
  • Delta – PPO, Premier, Fee for Service & Advantage Non par w/ Patient Access, Flagship
  • Dental Network of America
  • Dentamax
  • Doral Dental (dental for PHS and UHP)
  • Empire Health (medical & dental)
  • Fortis (dental)
  • GEHA (medical)
  • GHI ( dental) - Preferred Plus ONLY
  • Guardian (dental)
  • Healthnet
  • Horizon BCBS Medical
  • Horizon BCBS Dental Traditional and Dental Option Plan ONLY
  •  Non-Par with PPO, HMO and Dental Choice
  •   Medicare
  •   Met Life (dental
    • Multiplan
  •   NJ Carpenters (Medical & Dental)
  •   Oxford (Medical & Dental)
  •   PHS (Medical & Dental is under Doral)
  •   Principal (dental)
  •   Qualcare (medical – dental plan is Unicare)
  •   SIDS (dental)
  •   UFT (dental)
  •   Unicare (dental for Qualcare)
  •   UnitedHealth Care (Medical & Dental) – All Plans
  •  United Concordia 
    • Non-Par 
  • Cigna – Medical (we will work with our fees if patient has out-of-network benefits) 

     *Care Credit is Accepted