learn more about Dental PPO & fees . . .
Claims & Appeals
Every new patient visit start with an exam at our office. This way, your doctor can take the time to understand and answer any dental concerns and questions you may have. We want to make sure we have the same goal when it comes to your dental care.
If your dentist recommends any treatment, it will be in a report called "Treatment Plan." Your treatment plan will show an estimated out of pocket cost if you are an insurance patient: it will show the negotiated fees for each procedure given to us by your insurance, what the estiamte coverage and patient portion cost will be. If you are a non- insurance patient, your treatment plan will show your exact out of pockets costs. Either way, we will make sure you are comfortable with all aspects of your treatment, if you choose to move forward with it before we begin.
Fees (in network insurance patient)
Each insurance company assigns to certain fee to each individual procedure. This list of fees given to our office my each individual insurance compnay is called a "fee schedule." Fee schedules may vary based on your insurance company as well as the type of policy you have with that company.
If our office is in network with your insurance company and your policy, we are contracted to use the fee schedule given by them. We will also file your dental claim for you, this process usually takes 3-4 weeks.
In addition to filing your claims, if you max out of your insurance before the end of your term and would like to continue any treatment you may have, will will honor your fee schedule instead of utilizing our office fees.
Fees (out of network insurance patient)
If our office is out of network with your insurance policy, we can still see you has a patient!
You will still receive a treatment plan at your initial visit, however, the fees will be our office fees not your insurance fees.
At Forest Family Dentistry North, helping our Austin community is top priority. We understand how important budgeting your health care is.
To help, Forest Family Dentistry North is pleased to provide a link to FairHealthConsumer.org, a website which enables you to estimate and plan your dental expense based on what dental professionals charge for services in our area (78759). The default estimated charge on the site is based on the 80th percentile. This means that 80% of charges in the Fair Health database are less than or equal to the default estimated charge. Forest Family Denitstry guarantees that we will never raise our office fees above that 80th percentile estimated charge. For more information about fees:
1. Please visit this site – FairHealthConsumer.org
2. Click on the “Get Started” button for Dental
3. Type in 78759 for the zip code and follow the steps on the FairHealthConsumer page.
Additionally, we accept many forms of PPO insurance, and are becoming “in network” with Austin’s insurance providers. By Advancing our systems to communicate to our patients and their insurance, we streamline the entire process so we can spend more time with you and your family.