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Insurance and Payment Info //

Why Choose an Out-of-Network Dentist?

 

Choosing an out-of-network dentist allows you and your dentist to make treatment decisions based on what is best for your oral health, rather than being limited by insurance network requirements. At Coulter Family Dentistry, our goal is to provide personalized, comprehensive care based on your individual needs and circumstances.

Being out-of-network does not necessarily mean your dental insurance will not provide benefits. Many dental insurance plans offer out-of-network coverage, although benefits and reimbursement levels vary by plan. By choosing an out-of-network provider, you have the freedom to receive the care you need while still utilizing any applicable insurance benefits available through your plan.

We Will File Your Dental Insurance as a Courtesy

 

For patients with qualifying dental insurance plans, we are pleased to file your insurance claim as a courtesy whenever we are able to do so. We will provide the necessary information and assist with the filing process to help you receive any benefits available under your plan.

However, there may be circumstances when we are unable to file a claim on your behalf. In these situations, you may need to submit the claim directly to your insurance company and work with them regarding any questions, documentation, or reimbursement.

It is important to understand that your dental insurance is a contract between you and your insurance company—not between you and our office. Your insurance company determines what procedures are covered, how much they will reimburse, and whether any limitations, exclusions, deductibles, waiting periods, or frequency restrictions apply.

Any insurance estimate provided by our office is only an estimate and is not a guarantee of payment. Insurance companies may process claims differently than expected, and benefits can vary depending on the specific provisions of your plan.

Ultimately, the Patient Is Responsible for the Balance

 

Regardless of whether insurance pays, partially pays, or does not pay a claim, the patient is ultimately responsible for the balance for all services provided.

If your insurance company reimburses you directly, full payment may be due at the time of your appointment. If your insurance company requires additional information, denies a claim, or has questions regarding your treatment, you may need to contact and work directly with your insurance company to resolve the matter.

While we are happy to assist with insurance filing when possible, we cannot guarantee that an insurance company will approve or reimburse a claim.

We strongly encourage patients to contact their insurance company directly to understand their benefits, coverage, and out-of-network reimbursement before beginning treatment.

Please contact us at 574-271-8771 if you have questions about our insurance and payment policies.

Please note that we do not accept or file claims for Medicaid, Medicare, or HIP, nor do we provide documentation for patients to submit Medicaid, Medicare, or HIP claims.

Additional Payment Options

 

For patients without qualified dental insurance, we offer several convenient payment options. We accept cash, personal checks, Visa, MasterCard, Discover, and American Express.

Please note that a 3% fee will be added to payments made by credit card to cover the cost of providing this payment convenience. Click the Pay Your Bill button below to make an online payment.

We also offer Alphaeon Credit as a financing option for qualifying patients. Click the link below to learn more and pre-qualify.

Payment Questions?

 

We understand that navigating dental treatment, insurance, and payment options can sometimes be confusing. Our team is happy to answer questions about our fees, treatment costs, and the insurance filing process.

For questions regarding your specific insurance benefits or reimbursement, we recommend contacting your insurance company directly, as they are the best source of information regarding your individual plan.

You can reach us at 574-271-8771. We're pleased to help make your dental care as convenient, comfortable, and transparent as possible!

Alphaeon Credit
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