It is unfortunate that this patient did not have an understanding of his insurance. We received his dental information from [redacted] by fax. This patient's insurance company states that they cover 100% of preventive care: however, they do not make it clear that 100% is usually based on a negotiated...
amount determined by the insurance company and the employer. Depending on the policy the patient portion can vary. We try to explain that we are a fee for service provider and that any portion not covered by insurance is the patient's responsibility, obviously this patient did not understand that.This patient states that he did not wish to pay anything. It is unfortunate that the person he initially spoke with did not pick up on his resolve not to pay for anything. If they had. I assure you we would not have scheduled him. As soon as it was apparent that he did not understand his insurance, we did a predetermination for treatment diagnosed during his exam.We work with our patients to make sure that they understand their benefits and receive the maximum allowable from their insurance. It is Important that patients are aware that their policy is unique and that many employers buy a plan based on a desired premium.I have attached what his insurance company sent to us.We will forward him a reimbursement of the 578 he paid and suggest that he contact [redacted] to find a dentist that provides the "discounts" that he is seeking.Karen S. C[redacted]My Dental Care9905 Allisonville RoadFishers, IN 46038317-849-0999
It is unfortunate that this patient did not have an understanding of his insurance. We received his dental information from [redacted] by fax. This patient's insurance company states that they cover 100% of preventive care: however, they do not make it clear that 100% is usually based on a negotiated...
amount determined by the insurance company and the employer. Depending on the policy the patient portion can vary. We try to explain that we are a fee for service provider and that any portion not covered by insurance is the patient's responsibility, obviously this patient did not understand that.This patient states that he did not wish to pay anything. It is unfortunate that the person he initially spoke with did not pick up on his resolve not to pay for anything. If they had. I assure you we would not have scheduled him. As soon as it was apparent that he did not understand his insurance, we did a predetermination for treatment diagnosed during his exam.We work with our patients to make sure that they understand their benefits and receive the maximum allowable from their insurance. It is Important that patients are aware that their policy is unique and that many employers buy a plan based on a desired premium.I have attached what his insurance company sent to us.We will forward him a reimbursement of the 578 he paid and suggest that he contact [redacted] to find a dentist that provides the "discounts" that he is seeking.Karen S. C[redacted]My Dental Care9905 Allisonville RoadFishers, IN 46038317-849-0999