A bit about dental insurance

Dental insurance is a contract between the dental insurance company and your employer. The benefits that you receive are based on the terms of the contract your employer negotiated with the dental insurance company. Our dental office does not play a role in determining the benefits that you receive from your dental insurance.

It can seem impossible for most people to understand their plan benefits due to the lack of sufficient information provided by some insurance companies. Please contact your dental insurance company or review your plan booklet to gain a better understanding about the services that are and are not covered in your plan benefits. We understand that dental insurance can be a highly complex area that creates confusion for many of us. Our front office team at Happy Healthy Teeth will do everything they can to help you understand the benefits of your dental insurance.

A BIT ABOUT DENTAL INSURANCE

Dental insurance is a contract between the dental insurance company and your employer. The benefits that you receive are based on the terms of the contract your employer negotiated with the dental insurance company. Our dental office does not play a role in determining the benefits that you receive from your dental insurance.

It can seem impossible for most people to understand their plan benefits due to the lack of sufficient information provided by some insurance companies. Please contact your dental insurance company or review your plan booklet to gain a better understanding about the services that are and are not covered in your plan benefits. We understand that dental insurance can be a highly complex area that creates confusion for many of us. Our front office team at Happy Healthy Teeth will do everything they can to help you understand the benefits of your dental insurance.

COMMON INSURANCE QUESTIONS

1) Do you accept my insurance?

Most likely, YES! We are able to work with any plan for which a patient has out-of-network benefits and can choose the provider that they want to see. This type of insurance is known as a Preferred Provider Option (PPO) plan. Let us know what dental insurance your child has and we will let you know how we can work with your insurance.

2) What does out-of-network mean?

Being out-of-network means we are not contracted with the dental insurance plan. As a result, if there happens to be a difference between Our Fee and the Allowable Fee set by your insurance, you would be responsible for the difference.

Please remember that the great thing about PPO plans is that you can typically see whoever you want and still receive coverage on services. You get to choose who you want to see! Each day, patients choose to go out-of-network and receive the highest quality of dental care at Happy Healthy Teeth!

We are considered an out-of-network provider. Unfortunately, some insurance companies simply do not reimburse dental providers enough to cover the cost of materials and labor for the dental services they provide. By being an out-of-network provider, we are able to recommend and provide the best possible care for your child without the influences of the insurance company.

3) Info for Patients with Delta Dental Insurance

At Happy Healthy Teeth, we are patient-centered, not insurance, driven. We want what is best for our patients, and our recommendations are based on that.

We work regularly with patients who have Delta Dental as an “out of network” provider. Also, we will still file insurance claims on your behalf and work to maximize your benefits.

Watch the video to see how the process works for our patients with Delta Dental.

We look forward to providing your child with the best pediatric dental care to help them achieve a lifetime of Happy Healthy Teeth!

4) What will my out of pocket expense be?

This will vary with each individual plan. The factors to consider are deductibles, coverage percentages, frequency limitations, and the allowable fee set by your insurance. Most patients think that their insurance will pay 100% of all dental fees. This simply is not true.

  • As a courtesy, we will submit your dental insurance claim. If you would like, a pre-treatment estimate can be submitted to your insurance company prior to dental treatment on your behalf. Please remember that this is an estimate, and not a guarantee of benefit or payment.

CERTIFICATIONS

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Visit The Pad

Jonathon Everett Lee, DDS, Inc.
Brian D. Lee, DDS, MSD, Inc.
Christian P. Yee, DDS
•••
1291 East Hillsdale Blvd., Suite 100
Foster City, CA 94404
•••
customercare@happyhealthyteeth.com
•••
Phone: 650-574-4447
Fax: 650-574-4041
•••
Click here to text us!

Visit The Pad

Jonathon Everett Lee, DDS, Inc.
Brian D. Lee, DDS, MSD, Inc.
Christian P. Yee, DDS
•••
1291 East Hillsdale Blvd., Suite 100
Foster City, CA 94404
•••
customercare@happyhealthyteeth.com
•••
Phone: 650-574-4447
Fax: 650-574-4041
•••
Click here to text us!

CERTIFICATIONS

 .  

 .    

 

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