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Financial Policy

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Advanced Family dentistry

Financial Policy

 

 

Insurance

Advanced Family Dentistry files insurance claims with most carriers as a courtesy to our patients.  We are currently in network with the following carriers: Delta Dental Premier and Guardian DentalGuard Plus. Insurance is a contract between you and your insurance company.

 

Medicaid: For children 21 and under. Verification of eligibility will be completed on date of service. Claims are processed based on the South Carolina Department of Health and Human Services fee schedule and coverage policies.  Patients are subject to dismissal from practice upon third missed /failed appointments or appointments cancelled inside 48 hour notification period.     

 

Please understand that insurance is considered a method of reimbursing the patient for fees paid for service(s) provided and is not a substitute for payment. Some carriers pay fixed allowances for certain procedures and others pay a percentage of the charge.  It is your responsibility to pay any deductible amount, coinsurance, or any other balance not paid for by your insurance company.  It is not our responsibility to know exclusions, waiting periods, and non-covered procedures in your insurance policy. Failure to provide updated insurance information may result in denials, in this instance the patient will be held responsible.

 

The goal of Advanced Family Dentistry is to provide superior dental care at a reasonable cost to you.

Patients will be required to pay their estimated portion at the time of their visit. For insurance carriers that pay the subscriber, full payment is expected at time of service. For your convenience we accept cash, personal checks, Visa®, MasterCard®, American Express®, Discover®, and CareCredit.  Payment is due at time of service.

 

A 1.8% finance charge will initiate when accounts reach the 60 day past due threshold.  Accounts that are 90 days past due will result in referral to a collections agency and a 35% collection fee will be added to the account balance at that time Future visits will require payment in full at time of service and upon payment from the insurance carrier a refund check will be issued as necessary.

 

Minors

For minor patients the parent or legal guardian is responsible for full payment. Treatment will be denied unless a parent or legal guardian is with the minor, or there is signed Treatment Consent Form in patient record.

 

Late Arrivals

Patients who are 10 minutes late to their appointments may be asked to reschedule, unless the doctor’s/clinician schedule allows them to work in the appointment. We ask that you please allow the appropriate amount of travel time.

 

Missed/Failed/No Show Appointments and Late Cancellations

Missed appointments represent a loss to us, to you, and to other patients who could have been seen in the time set aside for you. Cancellations are requested 48 hours in advance of the scheduled appointment. Appointments cancelled with less than 48 hour notice will be charged a $50.00 fee for hygiene or 20% of the scheduled appointment fee with the doctor. The fee is not covered by insurance. After the first broken appointment, Advanced Family Dentistry reserves the right to require a reservation fee for any future appointments payable at time of scheduling. The reservation is non-refundable if you cancel your appointment with less than 48 hours prior notice.  The reservation fee is 20% of the scheduled appointment fee.  Appointments that are missed/failed or do not meet the 48 hour notice due to an emergency can be addressed on a case by case basis. 


Notice of Nondiscrimination - ACA Section 1557

Statement of Nondiscrimination - ACA Section 1557

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