Insurance Acceptance

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Q:  What insurance does your office take?

We accept most insurance companies, but we are out-of-network. HMO plans such as Alameda Alliance, Medi-Cal, or DeltaCare are not accepted. Patients with HMO plans are welcome to join our office as self-pay!

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Q:  How do I find out what my insurance will cover?

We can help you submit a pre-treatment estimate to see how much your insurance plans to cover. It takes around three to six weeks for the estimate to come in.

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Q:  What if I don’t have dental insurance?

You are welcome to join our office as a self-pay patient! Uninsured patients may also ask about our special In-Office Membership plan. This plan provides a substantial discount on our fees and is only offered at our discretion.

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For more details on the in-office membership or if you have any follow up questions or concerns, please do not hesitate to email or call our office at (510) 523-5323 during our business hours. We are here to help!

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Payment and Costs

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Q: How much will it cost for a cleaning as a new patient?

We will inform you of your appointment fees. However, insurance only informs us of their reimbursement after the claim is submitted.

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Q: If my insurance policy says it covers 100%, why do I still have a copay?

The coverage percentage refers to the insurance's maximum contract allowance, which can be much lower than our office's fees. Your copay is the difference between our service fees and what insurance pays for the service.

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Q: Can I use my HSA/FSA card for this?

Yes, you can use your HSA/FSA card.

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Q: Do I need to pay up front for my appointment?

Yes, we will collect up front for all your appointments if your insurance reimburses you directly. However, we may collect your co-pay depending on the payment that your insurance sends to our office.

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Insurance Reimbursement

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Q: How long will it take for my insurance to reimburse me?

Insurance companies typically take three to six weeks to pay a claim. Secondary insurances will take another three to six weeks after the primary claim is processed.

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Q:  Where will my reimbursement check be sent?

Checks are usually sent to the subscriber, but sometimes they are sent to us. Please provide an accurate address to which checks should be sent! We will notify you through email and reimburse you if the check is sent to us.

 

Q:  What do I do when I haven’t received my insurance check after a few months?

Please contact your insurance company and follow up on the claim. We can provide the contact information for you if needed!

 

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