Insurance and Payments

General Insurance

Our office does accept most Dental Insurance Plans, however depending on Network Levels or Plan Types, your insurance may cover at a lower percentage, or possibly deny services provided by our office. Our office staff is happy to check your Insurance Plan prior to your appointment. Please be sure to provide your insurance information at least 24 hours before your appointment time.

Insurances Accepted/Network Status

The best way to establish if our office is an IN or OUT of Network office is to call your insurance directly. Private Insurance companies offer numerous plans with numerous network participation requirements and rules. To ensure you receive the BEST coverage with your specific insurance plan, call your insurance directly.

Oregon Health Plan

Our office is able to bill some insurance plans through Oregon’s Medicaid/Medicare System (OHP). Below is a list of the different Oregon Health Dental Insurance Plans, and whether or not we accept them.

· Moda/ODS – Accepted without referral (Both Offices)
· Advantage Dental – By Referral ONLY
· Willamette Dental Group – By REFERRAL ONLY (Both Offices)
· Capitol Dental – NOT ACCEPTED (Both Offices)
· Open Card – NOT ACCEPTED (Both Offices)

To find out which plan your child has, check the front of their Insurance Card. If your child’s dental plan is not listed on the front of the card, or you wish to change Insurance Plans to one that is accepted by our office, please call the Customer Service phone number on the back of your card.

Payment Policies and Options

In order to make payment for services as convenient as possible, while at the same time maintaining operations of our office in the highest standard of comprehensive care, we offer three different payment options (see below). We will do our best to give you an accurate estimate of your total fees at the onset of your child’s treatment, however in some cases the required treatment will be more or less expensive than was originally quoted. All estimates are based on insurance information provided by the parent/guardian, and estimated coverage is not a guarantee of payment from your insurance provider.

01.

Payment in Full

Payment of your estimated patient share is expected at the time of service. We accept Cash, Check, Visa, Master Card, Discover, American Express, and Care Credit. A 10% discount will be credited for any accounts who do not have dental insurance.

02.

Insurance Assignments

We will gladly file insurance claims and accept assignment of benefits in place of payment at the time of service. You will still be responsible for any non-covered services, co-insurances, copayments at the time services are rendered. Insurance payments are determined by your insurance company at the time they receive the dental claim based on their “usual and customary” fee schedule. Your insurance company’s fee schedule may not align with our office’s charges. You may be responsible for the difference in these amounts. You are financially responsible for any charges not covered by your insurance.

Additional Payment Policies/Information

Our office does accept most Dental Insurance Plans, however depending on Network Levels or Plan Types, your insurance may cover at a lower percentage, or possibly deny services provided by our office. Our office staff is happy to check your Insurance Plan prior to your appointment. Please be sure to provide your insurance information at least 24 hours before your appointment time.

Missed Appointments

To best serve our patients, we kindly ask for your appointments to be kept, or to be notified 24 hours in advance of the cancelation of an appointment. We do understand emergencies happen, and calling before missing an appointment is not always possible. If two (2) appointments are missed within a six (6) month period, you will be responsible for a $30.00 missed appointment fee (per missed appointment).

Military/Emergency Response Personnel Discount

To honor those who serve, a 15% discount will be applied to any out-of-pocket cost that is incurred in our office. A parent/guardian must be employed by the US Military, Fire Department, or Police/Sherriff Station to qualify.

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