We want to thank you for trusting us as your health care provider. We appreciate your trust in us and are honored to have the opportunity to serve you.
Our office wants all of our patients to be able to comfortably afford dental care. We proudly offer the following financial policy so that our patients can have the opportunity to decide which payment option suits your needs.
If an account becomes more than thirty days overdue, it will be subject to a 1.5% finance charge per month. In the event that your account is past due, it may be turned over to a collections agency and/or attorney. In that case, you agree to be responsible for all reasonable fees necessary for the collection of the account including, but not limited to, collection agency fees of 50% of the balance due and costs and reasonable attorney fees of 33% of the balance due.
We ask our patients to please give us 24 hours notice if they need to cancel or reschedule an appointment. There will be a minimum of $50.00 charge for any broken appointments. If you have two or more broken appointments, then we will need your next appointment fee to be paid in advance before scheduling. This is due to the cost the office incurs from the missed appointment in overhead, time, and energy.
Our office understands the value of insurance benefits to our patients and will gladly work with you to help get the maximum benefit available to you. We will accept the payment benefits from the insurance company after you have paid your portion. Most dental insurance plans do not cover 100% of the cost of your treatment. Because of this and the extreme delay in receiving payment from the insurance company, you will be asked to pay your deductible and your portion of your charges the day the service is rendered. We will estimate as closely as possible your coverage, but until we actually receive the payment from the insurance company, it is just an estimate. We will assist in you dealing with your insurance company, but the ultimate responsibility lies with you. If an insurance company will not pay our office directly or in a timely manner, as in the case of the Delta Dental and State of Illinois, you are responsible for the entire amount of the treatment at the time it is rendered. We will submit claim to the insurance company on your behalf.
Methods of Payment
Cash Personal Check