38 Meserole Dental Financial Policies

Payment for all services rendered is due the day of service, unless prior arrangements have been made. The following financial arrangements are accepted for all services over $500 and must be discussed:

  1.  A book-keeping courtesy of 5% will be extended when payment for the entire phase of the treatment plan is made in full by check or credit card prior to the beginning of treatment.
  2. We offer third-party short-term interest free financing and extended financing through LendingClub and CareCredit (subject to credit approval).

Dental Benefits and Office Fees

We are participating in-network providers with Cigna DPPO and Delta Premier Plans. We also honor Cigna discount plans and AFORA discount plans. We take all other major PPO plans (such as Aetna, Delta, Cigna, Metlife, Guardian, Empire Blue Cross, Humana, Ameritas, United Healthcare) as a partial payment for our services. As a courtesy to our patients, we will process all the necessary paperwork and will accept assignment of benefits from all plans that allow payments issued to the treating dentist. In a situation that your dental plan sends payment directly to you, you will be asked to pre-pay for the services and wait for reimbursement.

If you have any dental and/or medical insurance we will be glad to fill out the proper forms and file them with your insurance. Our estimates regarding your dental benefits are given as carefully as possible. These estimates are based on information currently available from your insurance company. However, your benefits are determined by the contract between your insurance company and your employer. Please remember that insurance is considered a method of reimbursing the patient for fees paid to the doctor and is not a substitute for payment. Some companies pay fixed allowances for certain procedures and others pay a percentage of our office procedure fee. It is your responsibility to pay any deductible amount, co-insurance, or any other balance not paid for by your insurance company. The insurance carrier will ultimately determine the benefits to be released. Any amount that is not reimbursed by your insurance, such as “downgraded” or “not covered” procedures, will be charged to the credit card provided. A receipt will be emailed to you.

Cancellation Policy

To provide our patients with the highest quality of care, we reserve individual appointment times specifically for each patient. If you are unable to attend your appointment, please call the office promptly to notify us of any changes in your schedule. If it is necessary to cancel your pre-scheduled appointment, we require that you call at least 48 hours in advance. A missed appointment or a late cancellation will be recorded in the patient’s chart and a missed visit scheduled for more than 60 minutes will assess a charge of $75, billed to the patient’s account.