Call Family Dentistry is committed to providing the highest level of professional dental care. For every commitment there is an obligation to provide quality care and service. Conversely, it is the patient/guardian’s responsibility to meet their financial obligation. Please understand that payment of your bill is considered a part of your treatment. The following is a statement of our Financial Policy which we require you to read and sign. All patients must complete all of our forms prior to seeing the doctor. It is important that you bring proof of insurance each time you visit Call Family Dentistry. Failure to do so may result in you not being seen or being required to make full payment at the time services are rendered.
Since our office accepts many different insurance plans, it is impossible for us to know all covered benefits, co-pays and deductibles for each plan. Our treatment plans estimate the patient balance based on what the insurance has indicated it will pay. We have no control over what the insurance does pay. Please be aware that some, and possibly all of the services provided may be non-covered services and not considered reasonable, usual, and customary under the terms of your dental and/or medical policy. Your insurance policy is a contract between you and your insurance company. We are not a party to that contract. While it is our intention to assist you, it is still your responsibility to insure that all services rendered by Call Family Dentistry on your behalf are paid in full.
For patients whose insurance is provided by a plan with whom we contract, we will submit the insurance claim, but our office expects same day payment of all co-payments, deductibles and non-covered services.
We understand that insurance coverage is very confusing to many people, and we are committed to helping you with any questions you may have. Please feel free to call our office. In cases where patients are required to pay cash for an appointment (due to complications with insurance cards etc.), a close approximation of the cost must be paid on the day services are rendered. Should the actual cost of the treatment amount to a different amount, the difference will be either billed or refunded to the patient.
Our practice is committed to providing the best treatment for our patients and we charge what is usual and customary for our area. You are responsible for payment regardless of any insurance company’s arbitrary determination of usual and customary rates.
Concerning minor patients, the adult accompanying a minor and/or the parents (guardians) are responsible for full payment at the time of service. For unaccompanied minors, non-emergency treatment will be denied unless charges have been pre-authorized to an approved credit plan, credit card, or payment by cash or check at the time of service has been verified.
- Treatment plans may change; the patient is responsible for work actually done.
- If the patient begins a major treatment that involves lab work, they will be responsible for the fee at time of service.
- If the patient is sent to collections, they will be responsible for all related fees and court costs.
- A finance charge of 1.5% per month (18%) APR will be applied to any balance 90 days past due.
We value our time, and we hope that you value ours. Give Call Family Dentistry 24 hour notice if you are unable to make your scheduled appointment. Please help us serve you better by keeping your scheduled appointments. If you do miss an appointment with no notice, be aware that we reserve the right to charge you a $50 no show fee. In addition, if you have excessive cancellations and no show appointments, we reserve the right to dismiss you as a patient.
If you are unable to pay at the time of service, be sure to point this out prior to your appointment. Payment arrangements may be made through our financing lending partners, Care Credit and/or Lending Club. Both offer extended payment plans of 12, 18, or 24 months at 0% interest (OAC). You can apply by calling, going online or at the Call Family Dentistry’s office.
Any account that has not received payment in 90 days will be handed over to a collection agency that will pursue the responsible party for reimbursement. This will negatively impact your credit report.