Accepted Insurance

At 101st Adult Dentistry we are happy to file dental insurance as a courtesy to our patients, however there are some insurance policies we do not participate with. In this case, we will gladly assist you in submitting your insurance forms so that you will be reimbursed in a timely manner.

• Insurance coverage will be verified at the time of service. You must provide this office with an insurance card or proof of coverage. If coverage is unable to be verified, you are responsible for all charges incurred.
• Upon verification of insurance benefits, we will attempt to estimate your portion of fees due. You are responsible for any co-insurance amounts prior to treatment.
• Responsible parties with insurance coverage can either:
• File insurance yourself and pay us in full directly the day services are rendered. We will assist you with your paperwork.
• Have us file your insurance. We will only file with 2 insurance plans. Filing any additional plans will be your responsibility.
• Due to increases in postage and mail supplies, we will only send out ONE billing statement per date of service. It is your responsibility to keep your account current and to update us with address changes as they occur. All account balances must be paid within THIRTY (30) days from the date on the statement.

Photo ID (We do not file ANY insurance without a photo ID – driver’s license).

About Estimates for Treatment

• We are not privileged to all insurance plans limitations and exclusions. You, as the beneficiary of the insurance policy, are responsible for knowing all policy limitations and exclusions. The contract for benefits is between you and your insurance company; our only relationship is with you, the patient.
• We will prepare an estimate of insurance payment and your responsibility. This is prepared using the information provided by your insurance plan’s representative. We only use the information they provide us with, so if the information is not current, inaccurate, or lacking in detail, that will affect the treatment plan estimate we provide you with. Neither we nor the insurance company can guarantee the estimated payment amounts. Please understand that the estimate generated is provided as a courtesy.
• We will assist you in understanding your benefits but are not responsible for your benefits or what is ultimately paid by your insurance plan. Any discrepancies should be addressed with your insurance company as they make the final determination of benefits provided, not us.
• You are responsible for verifying that all waiting periods have been satisfied prior to treatment.
• We cannot be held to the estimate of insurance benefits, as it is only an estimate based on information provided on the day it is generated. Annual maximums, deductibles, and percentages of coverage may be different on the day of treatment based on care received by other practitioners and the necessity of the procedure as determined by your insurance company.
• Our doctors do not determine the necessity for your insurance company but will assist in providing justification for treatment to your insurance company to assist in the determination of benefits. You, as the patient, are ultimately responsible for the full amount of the treatment cost.

* Remember insurance is filed solely as a courtesy to our patients. Please help us to keep this service available to all patients. *