Showing posts with label insurance company. Show all posts
Showing posts with label insurance company. Show all posts

Friday, September 2, 2016

10 Things You Should Know Before Going to the Dentist


Fortunately for parents and kids, there are ways to make the dentist appointment less stressful for everyone. Here are 10 things to know before visiting the dentist:

1. Find a dentist that suits you and your family. Seek recommendations or look online for reviews. Call ahead to ask if you can interview or speak with the dentist about any reservations you may have regarding your dentist appointment. If you are taking a child to the dentist, consider using a pediatric dentist.

2. Gather your dental records, x-rays, insurance information, and any other pertinent papers to bring with you to your appointment. If this is a child’s first appointment, consider letting them hand their records to the dentist themselves.

3. Know your water. Find out if your drinking water contains fluoride. If not, your doctor may suggest that you and your child use a fluoride mouth rinse in addition to regular brushing and flossing.

4. Write down any questions you may have, so you do not forget to leave without the answers you need. When taking children to their dentist appointment, encourage them to ask any questions they may have too.

5. Talk with your children about what they can expect to happen during their visit. Describe how their teeth will be cleaned and the dentist will check for cavities. Explaining the procedure beforehand may help to ease any nervousness and help them to feel more confident during their appointment.

6. Talk with your dentist. If your child is nervous about the visit, let your dentist and hygienist know. Some children may be nervous, while others may have difficulty sitting still, or even sensitivities to lights and sounds. Talk with the dental office beforehand to make sure they can accommodate your needs.

7. Practice full disclosure with both the dentist and the hygienist. It will be helpful to tell them about any health issues, even if you may not think it would be a concern during a regular dental appointment. Let the office know if there is a chance that you may be pregnant, if you or your child have any allergies (particularly to latex or medications), bleeding or clotting problems, or any other health issues. Women who are pregnant or nursing may need to avoid x-rays and certain dental procedures.

8. Request your favorite hygienist. If you find a hygienist who you or child respond well to, ask for that person’s name and have it added to your file. That way you can request that same hygienist for your next visit.

9. Remember to schedule your next appointment! (This is one sin that I am super guilty of committing, and then before I know it too much time has passed between appointments.) Dental exams are not merely to check for cavities. Your dentist will be looking for signs of decay, gum disease and even oral cancer, so do not skip an appointment simply because you or your child are not having any pain.

10. Keep proper dental care going all year long. According to the CDC, tooth decay affects children in the United States more than any other chronic infectious disease. Keep up with regular dental care, including brushing twice daily, flossing, and eating a healthy diet. You should also speak with your dentist about whether or not your child should be using a flouride mouth rinse. Encourage your children to take care of their teeth so they can avoid any issues in the future. The better you and your children care for your teeth between appointments, the more likely your appointments are to go smoothly.

By: Jessica Cohen, Babble
http://www.phillytrib.com/things-you-should-know-before-going-to-the-dentist/article_771dac6e-d24f-5c43-a0ae-0d28cc15eb4a.html

If you have questions or would like to schedule an appointment, please contact Omni Dental Group at one of our three office locations listed below:

North Austin on Hymeadow Drive: (512) 250-5012
Central Austin on Jollyville Road: (512) 346-8424
South Austin on William Cannon: (512) 445-5811

Wednesday, August 20, 2014

Dental Insurance Coverage

Your employer, management, or union has purchased dental insurance coverage from a selection of plans offered by an insurance company or broker. Each insurance company offers many different plans. 

What is covered?
The type of dental benefits that are covered relate to the dollar amount spent on the benefit package. Generally, the more money spent on a plan, the more services are covered. Most dental insurance covers only 50% to 80% of the cost of the treatment. Major services (crowns, bridges, etc.), which are the most expensive dental procedures, are usually only covered at a 50% rate. For example, some dental benefit packages will not cover the fees for porcelain (tooth-colored material) crowns on teeth that are not visible when you talk or smile; they will only pay for a metal crown. Under this type of plan, you must pay the full amount of the cost of the porcelain on those teeth. According to insurance companies, fillings in front teeth have both functional use and cosmetic components. They will pay for the functional part but not the full amount for the cosmetic restorations.

Who is responsible for payment?
The fees charged for dental treatment reflect the many different parts of a particular procedure or procedures. Treatment for your particular needs may or may not fall within the limits set by your particular dental plan. Many dental procedures may not even be listed in your insurance's procedure/payment schedule. If your dental procedure falls into this category, you may not receive any insurance reimbursement for that procedure. You are ultimately responsible for paying the entire fee for an accepted dental treatment, regardless of your insurance coverage.

Choosing Treatment Options
Our goal through your examination, diagnosis, and treatment phases is to provide you with the best possible oral health. We do not allow the insurance company to tell us how to treat you. We recommend to you those treatments that we believe you need and we will discuss alternative plans with you. Whether or not the recommended treatment is a covered dental benefit is between you and your employer and the insurance carrier.

Submitting the Claim
We are happy to help you receive the maximum benefits you are allowed from your dental coverage. In order for us to submit your insurance claim, we will need an insurance form with your portion completed and signed. We deal with dental insurance companies on a daily basis; therefore, we have a great deal of experience submitting these claims to insurance carriers. We take great care in submitting claims properly the first time. 

There are three things we cannot do: 
1) Alter the date of treatment; 
2) Submit a claim for more than the actual fee; 
3) Submit a claim for procedures that have not been performed. 

Because it is not at all uncommon for the insurance carriers to make a mistake, we would prefer to submit the claims ourselves, and then verify proper payment. Insurance carriers may respond to requests for payment of preauthorized treatment in as little as a week or as long as 45 days. Please be patient; we have no control over the post office or the speed with which the insurance carrier processes your claim.

Our office cannot negotiate with your insurance company for reimbursement of dental expenses. Only the purchaser of the plan (your employer) can negotiate better coverage. If you would like better or more coverage, you will need to talk with your plan purchaser about the features you want in your dental plan.

If you have any questions about your dental insurance coverage, please feel free to ask us.