If you have dental insurance and provide us with that information, we will file your claim for you after each appointment. Please bring your insurance information with you to your initial visit so that we can expedite reimbursement. Or, you can fax or e-mail us a copy of both the front and back of the card in advance of your appointment. Our fax # is 203-629-8485. Our office e-mail is [email protected]
We will also file pre-treatment estimates for you with your insurer, if requested, so that you will have some idea of how much your insurance will cover. Pre-treatment estimates often take a month or more to be returned to us. If it appears to us that you are not receiving appropriate benefits, if requested, and there is reason to believe you should get better coverage, we will appeal your claim to your insurer for you. All insurance policies have yearly maximums, patient co-payments, deductibles, and excluded procedures. However, all insurance policies have different amounts for these features of the policy. Two or more patients can have coverage from the same insurance company and have completely different benefits for the same procedure.
Dental insurance is a contract between your employer and the insurance company. Your benefits are determined by how much your employer is willing to spend on the premium they are paying. Another factor about dental insurance is that the maximum yearly benefit has never increased since dental insurance first came into the market place in the late 1970’s. While the price of almost everything, including dentistry has quadrupled in the past 40 years, the maximum dental insurance benefit has remained unchanged. Dental insurance is really not insurance; it would be more appropriately called dental assistance.
We accept all insurance plans and will work with you to help you maximize the benefits of your policy. However, we do not participate as a “preferred provider” with any insurance company. The discounted reimbursement rate for all such plans is much too low to enable us to offer the best quality dentistry at their reimbursement levels. Managed care plan fees are based on seeing a high quantity of patients to make up for the decreased fee for each procedure. Our fees are based on providing the best quality care and outcome for you, our patient.
At Thomas F. Gorman, DDS, MAGD we make every effort to provide you with the finest care and the most convenient financial options. To accomplish this we work with you to maximize your insurance reimbursement for covered procedures. If you have any problems or questions, please call us at Greenwich Office Phone Number 203-869-6129.