Payment & Insurance Policy
PLEASE READ CAREFULLY!
Dear Patient:
Thank you for choosing our practice for your oral and
maxillofacial surgical care.
Our primary concern is your health, your surgical care, and your
comfort. The ever improving level of care comes at a cost, a cost to
all of us.
The confusion of the present managed health care in this country has
forced us to become very cautious and straightforward with the financial
aspects of your care. Please take the time to read this statement.
Payment for service is expected at the time of service. We accept
cash, personal checks and the popular credit cards. In an attempt to
curtail the upward spiral of costs to you, we have refrained from
billing.
As a courtesy to you, our office will be glad to assist you in
preparing and submitting your insurance claims, provided we have the
correct information.
Understand that insurance companies are not in the business" to pay
for all of your health care needs. In fact, their objective is to pay
for less while persuading you to believe that they will cover your total
health care charges. They are involved in health care to make a profit.
Each company has its own forms, codes and guidelines for coverage.
Therefore, we often need your cooperation in dealing with these
situations.
At this time, our computer has logged over 300 different
health insurers, and the number increases every day.
Realize that your insurance coverage is an agreement between
you and your company. Dr. Dachowski is not employed by
any insurance company.
We will do all we can to help you receive the maximum benefits.
However, we recommend that prior to any visits and/or procedures you
call your insurance company to confirm your insurance coverage and
benefits. Each individual carries different contracts. As a result.
THERE IS NO WAY WE CAN PREDICT YOUR COVERAGE AND BENEFITS!
For example, many Blue Cross plans do not cover simultaneous
intravenous anesthesia and surgery. Medicare does not cover surgical
procedures related to the teeth or supporting structures, including
extractions.
Certain managed care plans do not cover corrective facial surgery or
temporomandibular joint surgery.
The standard rule of value applies: "You get what you pay for."
What makes this even more confusing is that even the present day
best plans are regularly denying benefits that they once regularly
covered.
If you have insurance that might cover your care, you must supply us
with your insurance ID card, policy and group number, an insurance for
properly filled out, and/or the appropriate managed care referral forms
from the primary doctor.
Without this information at the time of your visit, we can not bill
your insurance company, and you become directly responsible for the fee.
You are ultimately responsible for the cost of all surgical and
diagnostic services. Do not confuse this as our office accepting a
partial payment from the insurance as payment in full. Your are
responsible for any deductible and estimated copayments at the time
services are rendered. Those plans that we participate in, we will
accept the payment made by the insurance company, however, you
are responsible for subscriber liability as dictated by the insurance
company.
If the insurance company does not pay within 30 days, your account
becomes due and payable by you. You will receive a statement.
We hope this note has cleared up any questions as to your plan for
payment of service. If you have a question, please ask us.
Dr. Dachowski and Staff
Home
About Us
Resume
Certified
FAQS
Conditions Treated
Office Forms
Insurance
Location
Newsletter
Contact Us
Links
|