At FUNtastic Dental and Orthodontics, we pride ourselves in offering you personalized care and reserve appointment times to accommodate your needs. Please understand that when we schedule your appointment, we are reserving time for your child’s particular needs. Our office policy regarding late arrivals and missed appointments enables us to better utilize available appointments for our patients in need of dental care.
Please take the time to read our office policies and ask us for any clarification if needed.
The parent or guardian noted as the responsible party on the initial new patient form is financially responsible for the account, regardless of who the policy holder for the insurance is. If your child has secondary insurance we can file a secondary dental claim, provided we are given all applicable information.
As a courtesy to you, we will file a dental claim with your child’s insurance. YOU MUST UNDERSTAND THAT:
· We are only “in-network” providers for Delta Dental Premier insurance plan.
· We are “out-of-network” providers for ALL PPO plans and Indemnity plans. We accept ALL PPO insurance plans “out-of-network” benefits. It is your responsibility to know and review your out-of-network coverage and limitations, which can differ from your “in-network” benefits.
· Your insurance is a contract between you, your employer, and the insurance company; not with this dental office.
· You must keep us informed of any insurance changes such as policy name, group number, benefits, change in insurance company, or a change of employment status. You are responsible for any unpaid claims due to these insurance changes.
· We are not responsible for how your insurance company processes claims or what benefits they pay for. This is why we can ONLY provide you with an ESTIMATE of YOUR insurance coverage and your share of cost. Insurance companies set their own fee schedules, thus the amounts and percentages they pay are based on their set fees not OUR office fees.
· We are committed to providing your child with the highest quality of care. Our fees are a reflection of the highest quality of dental care, materials, and equipment we provide in our office. Our fees are determined by these factors and not by the self-interests of corporate insurance companies.
· All estimated share of cost for your child’s procedures will be due once services are rendered. Any unpaid balance after final payment is received from insurance will be your responsibility and due immediately to the office.
· Not all dental services we recommend are a covered benefit.
· All insurance claims not paid by insurance company within 60 days become the sole responsibility of the responsible party. By law, insurance companies must pay claims within 30 days. Most do, but some do not. We have given those companies up to 60 days to pay. After 60 days, if there is no payment from the insurance company, the responsible party is responsible to pay that claim and given another 30 days to make the payment in full.
CANCELLATIONS/RESCHEDULING: We request a 48 hour notice on all cancellations and/or rescheduling. As a courtesy to our patients, we confirm all appointments 48 hours prior to your appointment. When we schedule an appointment for your child, that time is reserved solely for your child. We do not double book and we take pride in the fact that because we value your time, as much as we hope you value ours. We need this amount of time so that we can contact a child from our waiting list to offer the appointment. We do recognize that situations arise that are out of your control; however please contact our office in a timely manner to notify us of your particular situation.
SATURDAY APPOINTMENTS: Due to high demand for Saturday appointments, if you cancel or reschedule with less than 48 hours’ notice or fail to show to a Saturday appointment, regrettably we will not be able to schedule another Saturday appointment for you or your family in the future.
LATE ARRIVAL: We define late arrivals as exceeding 15 minutes from the start of your dental appointment and 10 minutes from the start of your Orthodontic appointment. When a patient arrives late, the time spent with the patient is minimized and does not allow for a full assessment or proper treatment. If a patient arrives to the office late for a scheduled appointment, the patient will be asked to reschedule their appointment. We make every effort to see your child at the time scheduled. For this reason, it is very important you have your child in the office at the time scheduled.
MISSED APPOINTMENT POLICY: A failure to be present at your scheduled appointment will be recorded in your medical record as a "Missed Appointment". A failure to notify us with at least 48 hours’ notice will be recorded as a "Missed Appointment". Three (3) "Missed Appointment" incidents will result in dismissal from our Dental Practice.
OUR OFFICE POLICY ON DENTAL INSURANCE: FUNtastic Dental is not insurance driven or managed. We are committed to providing your child with the highest quality of dental care regardless of your Insurance companies’ benefits and/or limitations. In order to achieve this goal, we need your assistance and understanding of your child’s insurance plan. We do not have a contract with your insurance company, only you do. We are not responsible for how your insurance company handles its claims or for what they pay on a claim. We can only assist you in estimating your portion of the cost of treatment; we at no time guarantee what your insurance will pay.If there has been a change in your insurance, it is your responsibility to inform our office prior to your child’s appointment. Due to high call volumes with insurance companies, it can take up to 1 hour to verify insurance benefits. If the insurance verification process goes into your/ your child’s appointment time, we will reschedule the appointment.
FINANCIAL PROVISION AND PAYMENT: We are committed to providing your child with the best possible care. In order to achieve this goal, we need your assistance and your understanding of our payment policy. The parent or guardian noted as the responsible party on the initial new patient form is financially responsible. Payment and co-payments for dental services are due the day that dental services are rendered. We accept cash, checks, money orders, Care Credit, Wells Fargo Health Advantage, MasterCard, Visa, Discover, and American Express. Returned checks are subject to a $25 fee. Note: Regarding parents or guardians who are divorced, separated, or single; we are not in a position to mediate payment arrangements between parents or guardians.
OUR OFFICE POLICY ON FUN: We foster creating a pleasant and comfortable environment for team members as well as patients and their families. Our office routinely participates in fun days at the office like Themed Dress-Up Days, Halloween & Christmas parties for our patients, and other celebrations throughout the year. Every year we participate in continuing education courses to keep up-to-date on the newest technology and treatment advances. Lastly, giving back to our community is important to us and we often volunteer. Follow us on social media to learn more.
We ask for your consideration and cooperation in scheduling your next appointment. Please understand that we send reminders as a courtesy to you. We are not responsible if Voicemails are full, Telephone number /email are incorrect, or if you’ve opted out from our electronic reminders.
I have read the above appointment policies in their entirety. By signing below, I acknowledge that I am aware of and understand FUNtastic Dental & Orthodontics’ appointment and office policies as stated above.