Frequently Asked Questions:
Q:How do I get there?
By Car: There are many metered street parking spots steps away from our office. Additionally, there are municipal parking lots within 2 blocks away that also provide low cost parking options.
By Train/Bus: We are 1 block away from the Central Square T Station.
We are located in the Guaranty Trust Building. Please dial “1” in the call box next to the entrance to be buzzed in. We are at the top of the stairs to your right.
Please note, at this time we do not have handicap access.
2) How long will this take?
A: Almost all new patient appointments take approximately 1 hour. The easiest way for you to speed up the appointment would be to fill out all necessary forms in advance and arrive on time. If you do not have time to fill out the forms in advance, please arrive 15 minutes before your appointment begins to fill them out at our office. We take pride in our efficiency and our timeliness and we ask our patients to strive to do the same.
3) What if I don’t see my dental insurance listed? Will you still treat me?
Of course! It is our main goal to give everyone the care they need and deserve. We will not turn you away if you do not have insurance, and offer flexible payment options, for your convenience.
4) Why does my insurance not cover certain procedures that were recommended for me?
A: Over the last few years, there have been many exciting innovations in the field of dentistry such as dental implants, resin composite restorations (white fillings), and bone regeneration techniques to name a few. Unfortunately, many plans have not allowed benefits for these “state of the art” techniques. Payment, therefore may be denied for these or other procedures, even though the patient, the referring dentist, and specialists agree that the treatment plan is in the patient’s best interest. This could either come in the form of “downgrading” white fillings to silver fillings, some reduction in cost, or no coverage for the procedure at all.
5) I have insurance, so why do I have to pay out of pocket for my treatment plan?
A: During the last thirty years, the design of insurance plans has changed very little.
For instance, in 1970 most common insurance plans had a $1000.00 yearly maximum and today – most still do. At the same time, costs in a dental office as in most business and professional fields have gone up substantially. Therefore, we cannon lose sight of the fact that the dental insurance is essentially a program that assists the insured patient in meeting their financial obligations. It can best be thought of as a Dental coupon or Dental discount, in which exclusions may apply.
6) I want an exact cost of how much my treatment will be, what’s with these “estimates?”
A: Prior to your arrival, our team researches all your insurance benefits and limitations. Today, or in the future, you may be presented with a treatment plan and an estimate of the proposed treatment cost. Our office will assist you in obtaining maximum dental insurance benefits. Most insurance companies base their benefits on “UCR” (usual, customary, and reasonable) fees. Each insurance company compiles its own UCR and these numbers vary widely from company to company. While we, like you, may not understand how UCR’s can vary so much, we know that they do. Most plans cover only a portion of a specialists fee should you need one, which means that you are responsible for what you plan does not cover, plus any deductible. Many plans have exclusions and limitations which will affect your out of pocket expense. Therefore, we believe it is important for our patients not to be overly optimistic about the level of coverage that a plan extends.
We will estimate your “out of pocket” portion for treatment based on the information given to us by your insurance carrier. Please be aware that verification of benefits by phone or written predetermination is never a guarantee of payment. Final determination of payment/benefits occurs when the insurance carrier receives the dated claim form showing that treatment has been completed. Payment of your estimated portion (co-payment) is expected at the time treatment is rendered. However, sometimes there is a need to send you a statement for the portion insurance has not paid and this is due upon receipt.
Please know that the goal of our office is to provide the best possible care for our patients and to help them obtain optimal dental health. We will help you whenever possible to obtain appropriate benefits from your insurance carrier. Please feel free to direct any questions regarding billing or insurance submission to the office.