Dental Insurance

Let’s talk insurance!

Depending on what you need to have done, oral surgery can be costly. Most of the most common questions we get are surrounding insurance. So, we have created a quick cheat sheet for you.

1. A pre-authorization is always sent to your insurance before surgery by our office. Not all insurance companies will get back to us with coverage information, so make sure to keep an eye out for their response because they will always send a response to you.
2. Oral surgery often falls under the “basic dental coverage” category. Ensure you know if you have any insurance maximums, this could affect the amount of insurance coverage you get.
3. Once your pre-authorization for surgery has been submitted and a response received, any other dental appointments completed before you have your surgery could take away from the total allowed/available for surgery.
4. You will be required to pay your consultation fee in full at the time of consult, and we will submit it to your insurance to reimburse you, except you have social assistance or NIHB insurance coverage. We offer direct billing when moving forward with surgery as a courtesy to our patients.
5. Not all procedures are eligible for direct billing. We will advise regarding this during the consultation.
6. While we are happy to offer direct billing for convenience, the insurance contract is ultimately between you and your insurance company. If your insurance fails to remit payment, you are responsible for any balance left owing.
7. Every insurance company is different, and so is every policy within that company. Until we receive a written approval from your insurance company, we cannot assume that your procedure will be covered by them. We will do our absolute best to make your patient portion manageable for you.

Insurance can be complex. We are here to help! Please feel free to call us with any questions or concerns you may have.