IF YOUR PLAN DOES NOT ROLL OVER, MCADAMS DENTAL WILL BECOME OUT-OF-NETWORK AND YOU MUST UNDERSTAND THE FOLLOWING:
When you have PPO dental insurance, you are free to choose any provider you wish. Many of our patients continue to visit our office with out-of-network plans and we hope you will too. You should look into your particular coverage when visiting an out-of-network provider to fully understand how this will affect you.
Please note the following information related to out-of-network billing practices after 7/31/2021:
Payment for Services: You will be required to pay for your dental treatment at the time of service. Reimbursement for your services will be paid directly from the insurance company to the subscriber of the policy. Claims are generally paid within a couple of weeks. Our office will not receive payments or EOBs (Explanation of Benefits) directly from the company.
Plan Benefit Information: We will no longer have your frequency and plan coverage information. You may contact your insurance company directly or refer to your plan benefit information to determine when and what will be covered.
Estimate of Copay: As an out of network provider, we will not have the ability to estimate copay.
Filing of Claims: We will continue to file dental insurance claims for our out-of-network patients. Once filed, the insurance company will coordinate directly with the plan subscriber and we will not be included in their correspondence. Please call our office if you have any questions related to our insurance billing practices, and thank you in advance for your understanding on this issue. We are more than happy to discuss this change on the phone, or in person if you would like. Just let us know how we can help.