Frequently Asked Questions
“Oh no! You are not accepting my insurance anymore?”
Don’t worry, we still accept your insurance plan! PPO dental plans allow you to select your preferred provider, whether they are contracted or not. You will still have coverage under your PPO plan, but the difference will be that our office is considered an out-of-network provider.
We will continue to bill your insurance for any appointments you may have on your behalf - leave the paperwork to us! Based on your individual plan details and procedure provided, your coverage and copayments will be based on your out-of-network benefits.
“How will this affect my out of pocket costs?”
It’s difficult to say how this change will affect you personally as there are thousands of different insurance policies, and each plan offers different benefits and limitations. For example, many patients may see no change in their routine preventative care coverage for cleanings and check-ups, but may see some increase in their total out-of-pocket costs for treatment procedures.
To understand these limitations, you can request more detail about your out-of-network benefits from your employer’s HR department or directly from the insurance company. If you need help understanding the plan details, please let us know. If there are any concerns about cost, we can always send a request for a predetermination of benefits to your dental insurance.
“So, what insurances are you in-network with?”
We are transitioning out of contracts with all insurance providers. If you have an employer-sponsored dental insurance plan, speaking to your HR representative regarding plan options may be beneficial to you. Contact us if you require assistance in navigating your employer’s options during open enrollment.
As an alternative to traditional dental insurance, we offer in-office benefits plans. Many of our patients who don’t have an employer-sponsored insurance plan or buy their own insurance find this convenient and cost-saving. You can find more information on the plans offered here. Please send us an email if you are interested in signing up.
“My {last dentist, specialist, child’s dentist} is also opting out. Why are so many dentists choosing to opt out of dental insurance companies?”
We want to be as transparent about this change as possible. For us, over the last few years, it has become increasingly difficult to practice as in-network providers while maintaining the high quality of care that we value and think our patients deserve. Our providers take time with patients and we value one-on-one patient education as the foundation for building trust and health. Our commitment to doing the best for our patients means that we use high quality, evidence-based dental materials and up-to-date technologies and partnerships with excellent, vetted dental labs.
As insurance companies add more and more restrictions on what they will allow for their in-network providers, including lowering already low reimbursement rates while the costs of business and inflation have sky-rocketed in the post-covid landscape, we have reached a point where we cannot offer the same high quality dentistry we value under their contracts. We are unwilling to compromise our standard of care - our patients, friends and family deserve better than that.
"Is there anything else I need to know?"
Your health and wellbeing come first, and decisions about your health should be between you and your healthcare provider. While we will always do our best to work within and maximize your dental benefits, we strongly object to allowing insurance companies to dictate important decisions regarding your health. We have made the decision not to sign insurance contracts that limit the amount of time we can spend with patients or limit our use of high-quality dental labs and materials. It is our sincere hope that we have the honor of continuing to care for you for years to come.