A:

Being an Unrestricted Provider (or “Out of Network” in insurance-speak) means that Sweet Spot Dental will operate independently from specific dental insurance networks. This transition allows us to provide care that is more personalized and tailored to your individual dental needs, without the constraints often imposed by insurance plans.

While this change does mean that we will be considered an Out-of-Network provider for insurance purposes, it's important to understand the benefits this brings to your dental care. As an Unrestricted Provider, we gain greater flexibility in the treatments we offer, the materials we use, and the time we can dedicate to each patient. This approach is centered around what is best for your dental health, rather than what is dictated by insurance policies.

A:

Yes! As long as your plan has Out of Network Benefits (sometimes called Non-Preferred or Non-Contracted Coverage), it should be able to offer coverage with us and we will help you maximize your insurance benefits! Our team will verify your plan's active status and eligibility, provide a breakdown of benefits, and submit all claims on your behalf.

A:

While being Out-of-Network might initially seem concerning in terms of insurance coverage and costs, we want to reassure you that our team is dedicated to helping you navigate this. Being Out-of-Network means that Sweet Spot Dental does not have a contract with specific dental insurance companies to provide care at negotiated rates. We will still submit insurance claims on your behalf, assist in maximizing your benefits, stay within your dental budget, provide clear cost estimates upfront, and offer financial options that make sense for you.

With my many years of experience and continuous learning through advanced continuing education courses, our team will be equipped to provide top-quality services. We'll use the finest materials, work with the best dental labs, and rely on a team that's dedicated to excellence in dentistry.

Our aim is to make both the clinical and financial aspects of your dental care as transparent and manageable as possible!

A:

For Blue Cross Blue Shield and Delta Dental patients, you will be required to pay in full at the time of service. We will still submit your claim immediately to your insurance, and you should receive reimbursement directly from them, typically within 2-4 weeks, depending on your plan. We also offer payment plans and phased treatment options to manage out-of-pocket expenses depending on treatment.

A:

Absolutely! We will provide you with an upfront estimated reimbursement (for non-Blue Cross Blue Shield/Delta Dental insurances, we will let you know about estimated co-payments), before your visit with our office.

We will also try to request a Pre-Treatment Estimate from your insurance which can be more accurate, but depending on when visits are booked there may not be enough time for the request to process.

But regardless if your visit is booked 1 month from now or a day from now, our team will still be able to let you know about costs before your visit with us!

A:

The amount you'll be reimbursed by your insurance can vary depending on your specific dental plan and the treatment you receive. While we can't provide an exact reimbursement amount, we will assist you in understanding your benefits and provide an estimate based on your plan's coverage.

It's important to note that most insurance plans cover a portion of dental services, especially for Out-of-Network care, but they may not cover the full cost of your treatment. Typically patients receive a percentage of the cost back from their insurance, but this percentage can vary by plan.

We will submit claims on your behalf on the day of service to expedite the reimbursement process and on average, patients receive their reimbursement directly from Blue Cross Blue Shield and Delta Dental within roughly 2 - 5 weeks from the time the claim is submitted. However, this timeline can vary depending on external factors.

For a more detailed understanding of your specific insurance benefits and potential reimbursement, we recommend contacting your insurance provider directly. And if you have questions, our dedicated insurance coordinator is here to help with any questions you might have about your insurance coverage and claims.

A:

Our team will actively follow up on any stubborn claims and work to resolve them on your behalf!

Depending on your plan we may not receive copies of your claims however, and we recommend that if you do have any questions about claims that you send us a copy of what you receive so we can A.) look it over for you to provide answers or solutions, and B.) so we can more accurately follow up with your insurance if there is a delay in processing.

Regardless, we will have our eyes on your claims and we will work to make sure everything goes through!

A:

We understand that paying in full might be challenging for some. We offer various payment plans and a membership plan that can be a great alternative to traditional dental insurance. Please speak with our team and we would be glad to assist you.

A:

Aside from informing us of any changes in your dental insurance at least 5 business days before your visit, the only thing you would really need to do is confirm that your insurance has the correct mailing address for yourself.

This does mean checking with your insurance directly as opposed to checking with your HR Department (if you receive your insurance from work) or School Administration (if you receive your insurance from school), as sometimes there is a slight disconnect when updating information between the two.

If you are a dependent on your dental insurance plan, then confirm with your spouse or guardian that the insurance has their correct mailing address instead.

A:

We are expanding our range of services, techniques, and technologies to provide even better dental care.

A:

We're here to help! You can text, email, or call us with any questions. Our dedicated team members will also assist you with any insurance-related queries.

Our office phone number is (617) 945-1974, and our office email is hello@sweetspotdental.com.

A:

Our Membership Plan is an excellent alternative to traditional dental insurance!

It offers a broad selection of various benefits for a flat annual fee, helping you manage your dental care costs effectively.

And while the Membership Plan will work similar to dental insurance, because this would be completely in-house, we would not have to wait for any claims or follow up with any insurance representatives. Our team will be able to keep careful tabs of any potential “restrictions”, and we will always be able to let you know the costs of visits (including your Membership discount) before visits with us!