Financial Info / Payment Options-Details |
The following payment option
are available:
A) Prepay Courtesy:
A Prepayment courtesy of 5% ( 10% if Senior
Citizen, over 60 ) will be subtracted from the total patient obligation
( not from any portion due from insurance company ) if the patient obligation
is paid in full at the first treatment visit. This option is available
only if the total fee is greater than $2000.00.
B) Three Payments Zero Interest
Total patient obligation may be divided as
follows: 50% due at the first treatment visit, with the remaining balance
split into two equal payments, due 30 and 60 days after the first treatment
visit. This option is available only if the total obligation is greater
than $ 1,000.00 ( if less than $ 1,000.00, the full amount is due at the
initiation of any procedure ). Note: balance payments will be written
at the initiation of treatment, post-dated for 30 and 60 days-- our guarantee:
If a post-dated payment is deposited prior to the date on the face of
the check ( or credit card slip ) we will credit your account for an amount
equal and in addition to that payment!
C) Five Equal Payments Zero
Interest
Total patient obligation may be divided as
follows: Five equal checks (or credit card slips), post-dated for five
consecutive months. The first visit will be scheduled on or after the
date of the third payment. This option is available only if the total
fee is greater than $ 2000.00.
D) Pay as You GO.
You may choose to pay your obligation for
each visit, at the visit.
FORMS of PAYMENT and BALANCES
DUE
In order to facilitate access to the very
best health care possible, you may choose from any of the following (
including any combination thereof ): Visa, MasterCard, American Express,
Discover, Cash, Money Order, Personal Checks, or up to 6-month Financing
( see above ). Balances >60 days will incur a finance charge of 18APR.
INSURANCE
It is our pleasure to assist you by completing
your claim forms. If your carrier is up to date ( in over 70% of the cases),
the claims will be transmitted via computer modem before the end of the
treatment day! As a courtesy, in addition to filing the claim, we will
initially ask you only for your estimated copayment. Please understand
that this is only an estimate, and is based upon the information available
to us.
The range of benefits depends
solely on what your employer wishes to purchase. Some plans may cover
as little as 30% or as much as 100% of dental services, with most falling
in the 40% to 80 % range.
Some plans base the amount
of benefit on a schedule of fees arbitrarily developed by insurance companies.
For this reason, you may receive a lower percentage than the reimbursement
level indicated in your dental plan. For example, if your plan states
that it will pay 80% of the cost of a specific treatment, it means 80%
of the fee arbitrarily determined by the insurance company and not the
actual fee charged by our office.
The financial obligation for
dental treatment is between you and our office. The insurance company
is responsible to you, and not to our office. We will assist you in any
way that we can ( including our brand new high tech electronic claims
submission ).Once your carrier has paid the claim, any difference will
be due upon receipt of our statement. If for any reason, we have not received
your insurance carrier’s payment 90 days after the claim, the remaining
balance will be due and payable by you, and subject to 18APR.
CREDIT CARDS
 
CARE CREDIT
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