Scheduling :: Financial Arrangements For our patients who do not have Medical and/or Dental insurance:
Payment in full is required at the time of surgery.

For our patients who have Medical and/or Dental insurance:
Payment of your out of pocket expense (co-payment) is required at the time of surgery.

Upon your request, our office will make every attempt to verify your insurance coverage and provide you with an estimate as to how much of the total fee will be covered by insurance. The responsible party will be required to pay that portion of the total fee that is likely not covered by insurance at the time of surgery. If a balance remains on your account after your insurance company (companies) has forwarded payment to our office, you will receive a final statement and final payment of the entire balance will be due within 10 days.

It is your responsibility to know your insurance benefits. We will pre-determine your treatment plan upon request; pre-treatment determinations will be honored for 90 days unless otherwise restricted by your insurance plan. It is your responsibility to know if your insurance company requires pre-determination or pre-authorization prior to treatment.

As a courtesy to you, we will send your insurance carrier a claim for services rendered. It is important to note that Ohio law dictates that your insurance company must pay the claim or respond to the claim within 30 days. Insurance companies may deliberately or accidentally delay the processing of this claim. We will wait 60 days for their payment; if it has not been received within 60 days, you will be expected to pay the balance in full at that time. We accept Visa, Master Card, Discover, and Care Credit for your convenience.

Estimated out of pocket expense is based upon information provided by you or by your insurance carrier(s). This payment balance represents that portion of the charges that the insurance carrier(s) will not pay and is your responsibility. Estimates are based on percentages of a maximum covered fee, or may be based upon a flat fee accepted by the insurance company. This “maximum covered fee” is often referred to as UCR or maximum allowable fee. This fee is generated by the insurance company and may not be representative of the fees charged by this office, or by other offices in this area. You, the patient, are responsible for all charges not covered by your insurance carrier(s).

Care Credit is a financing system that many of our patients find helpful for their oral surgery services. You can select from various financing options, some of which allow for extended terms, "same as cash". You may receive more information and apply for Care Credit while visiting our office.