Insurance Information Sunnyvale
Our dental insurance coordinators deal with many different insurance companies. Some companies offer as many as six different dental and medical plans. Some companies combine dental and medical coverage. This insurance alphabet soup changes policies and guidelines weekly. At times, it is almost impossible to accurately estimate our patient’s insurance co-payment. Please check with your insurance company to see if one of our doctors is a network provider for your specific insurance plan. Many insurance companies will not give out fees until after the treatment is completed. Dealing with these companies can be difficult and time consuming. As a courtesy, we ask that you keep us informed of any change to your insurance. It is important that all information about you and your insurance be current.
PPOs, Private and Group Insurance – As a courtesy, we will file your insurance claims for you. Upon receipt of an insurance payment, any balance due will be billed to you. If you have deposited an excessive co-payment, it will be refunded to you.
HMO Patients – All HMO dental patients require a referral and/or authorization from their primary dentist prior to being seen by Dr. Jeworski or Dr. Wang. Obtaining the dental referral is the patient’s responsibility. We cannot obtain the referral for you, and the referral cannot be obtained retroactively. If you do not have a referral, we will be happy to see you on a cash basis, but your dental insurance company will not pay for your treatment. Please check with your dental insurance carrier if Drs. Jeworski or Wang is a provider for your particular HMO plan. If a HMO patient comes to us with a problem that they expect to be covered by medical insurance (biopsies, tumors, TMJ disorders, infections, jaw deformities), they must have a referral from their primary care physician. A referral from a dentist is not adequate for medical insurance coverage. Even if a medical referral is obtained, any procedures may not be covered insurance as the doctors, in general, are not providers for any medical insurance companies. Obtaining a medical referral is the patient’s responsibility. We cannot obtain the referral for you, and the referral cannot be obtained retroactively. If you do not have a referral, we will be happy to see you on a cash basis, but your medical insurance company will not pay for your treatment.
If you have any problems or questions, please ask our staff at Sunnyvale Office Phone Number 408-736-4332.