Financial Information
Payment Options
For your convenience, we accept cash, money orders, Visa, Mastercard & Discover credit cards. Payment is expected at the time services are performed. If one of these are not an option for you, you can apply for Care Credit and Lending Club for special financing offers. We deliver the finest care at the most reasonable cost to our patients, therefore, payment is due at the time of services rendered.
Insurance Information
At Center for Oral Surgery & Dental Implants we participate with Delta Dental, Aetna Dental, Unum Dental, Medicare, BCBS Medical, and Priority Health Medical. We make every effort to provide you with the finest care and the most convenient financial options. To accomplish this we work hand-in-hand with you to maximize your insurance reimbursement for covered procedures. For Out of Network Insurance plan we require payment in full, we will send claims as a courtesy to your insurance company and your insurance company will send your reimbursement directly to you. If you have any problems or questions, please ask our staff. They are well informed and here to assist you. Please call us at the numbers below:
Please call if you have any questions or concerns regarding your initial visit.
Please bring your insurance information to your first office visit so that we can expedite reimbursement.
Financing
As a service to our patients we offer third party financing options. Third party financing can help you get the dental care that you need by making your procedure more affordable. If you have any questions regarding CareCredit or Lending Club please contact our office. You can access CareCredit or Lending Club by clicking the links below.
** Please remember you are fully responsible for all fees charged by this office regardless of your insurance coverage**
The fees charged for services rendered to those who are insured are the usual and customary fees charged to all our patients for similar services. Your policy may base its allowances on a fixed fee schedule, which may or may not coincide with our usual fees. You should be aware that different insurance companies vary greatly in the types of coverage available. Also, some companies take care of claims promptly while others delay payment for several months.
Cancellation “No Show” Policy: Please understand that appointment times are limited. If you must cancel your appointment we respectfully request a 24 hour notice. Missed appointments, or appointments cancelled without 24 hour notcie, will incur a fee of $50.
Your Rights and Protections Against Surprise Medical Bills
When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
What is “balance billing” (Somtimes called “surprise billing”)?
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.
“Out-of-network” describes providers and facilities that haven’t signed a contract with our health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.
“Suprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care–like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.
You are protected from balance billing for:
Emergency Services
If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.
Certain services at an in-network hospital or ambulatory surgical center
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.
If you get other services at these in-network facilities, out-of-network providers can’t balance bill you, unless you give written consent and give up your protections.
You’re never required to give up your protections from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.
Michigan State law for Patients in State-Regulated Health Plans
Michigan law establishes protections for patients in state-regulated health plans. As an example, out-of-network providers providing care to non-emergency patients must make certain disclosures to patients such as the following:
* That your health insurance may not cover all services the out-of-network provider will offer
* A good faith estimated cost of services to be provided; and
* That you may ask the services to be performed by an in-network provider.
When balance billing isn’t allowed, you also have the following protections:
Your are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.
Your health plan generally must:
-Cover emergency services without requiring you to get approval for services in advance (prior authorization).
– Cover emergency services by out-of-network providers.
-Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
-Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.
If you have received a Center for Oral Surgery and Dental Implants bill and have questions, please contact our billing department: 616-361-7327 Extension 2. Monday-Friday 8am-4:45pm.
Visit: cms.gov/nosurprises/Ending-Surprise-Medical-Bills for more information about your rights under federal law.
Visit michigan.gov/difs and click on ‘Surprise Medical Billing’ for more information about your rights under Michigan law.