Our goal is to provide patients with the finest surgical care available. To accomplish this, we provide services to our patients at a reasonable and equitable fee. It is very important to us that patients understand the fees associated with their care. At the consultation appointment, the fees associated with care in our office will be openly discussed. Our office remains committed to helping you understand your options and maximizing any insurance benefits for covered procedures. We also understand that some patients may require assistance in financing their care and we will help those patients with financing options. The Treatment Coordinator is available to answer any questions you may have about our fees and payment options. If you have questions regarding your care in our office, please contact us at Encino Office Phone Number 818-990-5500.
Every patient has distinct needs and concerns. In order to individualize each patient’s care, Dr. Maranon performs a thorough evaluation prior to providing any treatment. All needed radiographs are reviewed or taken. Each patient’s diagnosis and planned treatment are discussed. Patients then receive information about preparing for surgery and instructions concerning their post-surgical care. Finally, the surgical appointment is scheduled at a time that is convenient for the patient and their family. You may expect to be in the office for 60 – 90 minutes for this first visit. In urgent situations, the examination is performed on the same day as surgery and you will be in the office longer. Due to the amount of time the doctor and staff spend with each patient, we do charge a separate fee for the consultation which is due on the day of the consultation. The office staff is available to provide you with this fee information.
Treatment Fees and Payment Responsibility
In order to reduce our cost of care, the office tries to minimize billing costs. It is the responsibility of the patient or the patient’s responsible party for all charges incurred at the time of service, regardless of insurance coverage.
For patients who do not have insurance, payment in full is required on the day of your service. We will assist you with financial arrangements if needed. We offer the flexibility of cash, check, Visa, MasterCard, Discover, and American Express. Care Credit is available to patients who wish to finance their care and provides interest free payments for a short time period. (Care Credit is an independent company with no affiliation to the practice.)
For those patients with insurance, our staff works hand in hand with you to maximize your insurance reimbursement for covered procedures. Whenever possible, we attempt to determine the availability of your insurance benefits before the consultation appointment. In order to accomplish this, patients may be asked for their insurance information when scheduling their consultation appointment. Patients should also bring all their insurance information with them to the consultation so that we can expedite reimbursement. Patients should note that health insurance is a contract between the patient and the insurance company. Patients are ultimately responsible for all fees and charges regardless of their insurance coverage.
We ask all patients to pay for the consultation appointment in full at the time of the initial appointment. Insurance patients can pay for the remainder of the treatment in full as well and we will bill the insurance company for you to be directly reimbursed. Some insurance patients may ask to have the insurance reimburse Dr. Maranon. These patients are asked to pay an estimated portion of their total expense at the time of surgery. This payment is based on an estimate of insurance benefit and should not be deemed as payment in full. For the portion of the fees that are not covered by insurance, we can help you find payment options that work best for you. If the insurance company pays less than we estimated at our treatment plan appointment, a one time statement will be sent. Payment is expected within 10 days as additional billings will incur billing fees unless arrangements were made prior to the surgery. If the insurance company pays more than estimated, a refund will be sent to the person and address listed as the responsible party on your patient forms within 30 days.
It is important to remember that health insurance is considered a method of reimbursing the patient for fees paid to the doctor and is not a substitute for payment. Some companies pay fixed allowances for certain procedures and others pay a percentage of the fees. Knowing your individual plan(s) benefits, deductible, co-insurance or any fees not covered by your insurance company is very important. Our office staff is available to assist you in understanding your insurance benefits. As a courtesy, we will file your insurance claims for you, provided that you supply us with complete and accurate information. Claims are filed by our office electronically to insurance carriers once the procedures are performed. If your insurance company does not process your claim within 60 days, you may be billed directly for any remaining balance. To ensure prompt processing of your benefits, we encourage you to check the status of your claim after 30 days with your insurance company. We do not participate with any HMO insurance plans.
Insurance Estimates and Pre-Determinations
The office may be able to obtain an estimate of available insurance benefits. Some insurance plans allow a pre-determination to be processed prior to treatment. These estimates usually require 2-4 weeks. Although typically not mandatory, your specific insurance plan may require a prior authorization. It is your responsibility to advise us of this at the consultation appointment in order for you to obtain your benefits. Please contact our treatment coordinator if you would like assistance in this process.
It is important to note that Medicare does not cover most dental procedures including extractions and implants. We are not Medicare providers and therefore any treatment performed in our office cannot be billed to Medicare. Patients are responsible for their fees at the time of service. If you have any problems or questions, please ask our staff. They can be reached by phone at Encino Office Phone Number 818-990-5500.