Yes we can. We’ll help you understand your insurance coverage, but your benefits package is between you and your employer [...]
Because your insurance coverage is between you, your employer, and the insurance carrier, your dentist does not have the power [...]
I know that my insurance plan doesn’t go into effect until next month. Why won’t my dentist do my treatment today, but send in the claim next month so that the insurance will pay?
Provincial laws regulate these issues. It is insurance fraud to change the dates of service on a claim. Both the [...]
Why won’t my insurance pay anything toward some procedures, such as x-rays, cleanings, and gum treatments”
Your plan contract specifies how many of certain types of procedures it will consider annually. It limits the number of [...]
To save money, many dental plans allow a benefit only for the least expensive method of treatment. For example, your [...]
I received an “Explanation of Benefits” from my insurance carrier that says my dental bill exceeded the “usual and customary”. Does this mean that my dentist is charging more than he/she should?
Remember that what insurance carriers call “usual and customary” is really just what your employer and the insurance company have [...]
Since the payments are negotiated, does this mean that there is always a balance left for me to pay?
Not always, it will depend on the negotiated contract. For example, some contracts contribute in full and have no annual [...]
Many carriers refer to their allowed payments as UCR, which stands for “usual, customary and reasonable”. However, usual, customary and [...]