We want to thank you for trusting us as your health care provider. We are honored to have the opportunity to serve you.
Our office wants all of our Champaign, IL patients to be able to comfortably afford dental care. We 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 30 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 a 24-hour notice if you need to cancel or reschedule an appointment. There will be a minimum of $50.00 charged for any broken appointments. If you have two or more broken appointments, we will need your next appointment fee to be paid in advance before scheduling.
Our office understands the value of insurance benefits and will gladly work with you to help you receive 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 treatments. 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’s 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 a claim to the insurance company on your behalf.
Methods of Payment
Cash Personal Check