Aetna, Cigna, & More
Pure Design Dentistry is Preferred Provider with many dental insurances. We accept all PPO dental plans and indemnity insurance. Our team provides complimentary benefits estimates, and will also provide an estimate of your co-payments and any out-of-pocket expenses for your treatment. Our office also files your claims for you as a courtesy service. We also offer several financing options beyond insurances for your use. Please rememeber that payments are due at the time of your treatment.
Please contact our office at 773-340-2016 to verify that we accept your insurance provider or if you have any questions. We will be happy to help you.
Insurance Q & A
Q: DO YOU “TAKE” MY INSURANCE?
A: The answer is probably! We are a Preferred Provider (PPO) for many major insurance providers. We will also file any insurance on your behalf.
Q: I HAVE INSURANCE, SO WHY IS THERE AN OUT-OF-POCKET EXPENSE FOR MY TREATMENT?
A: Dental insurance generally offsets the cost of treatment, but doesn’t pay for it entirely. On average, dental insurance covers 80-100% of preventative (cleanings, exams and X-rays), up to 80% of restorative work (minor fillings) and up to 50% of major work (crowns and bridges). We do our best to estimate your portion of the payment before you leave our office, but with literally hundreds of insurance companies and thousands of individual plans it’s simply impossible for us to know all of them. That’s why it’s so important for you to know your plan and take charge of your health!
Q: YOU TOLD ME I OWED ONE AMOUNT, BUT NOW I HAVE A BILL FOR MORE. I THOUGHT MY INSURANCE COMPANY WAS SUPPOSED TO COVER THIS. WHAT HAPPENED?
A: We do our best to estimate your out-of-pocket cost before you leave our office. It’s always our goal to be as accurate as possible about what you owe for your visit. As much as we try to be experts on every person’s dental insurance, our real expertise is in dentistry! Please remember that we are a PPO for nine insurance companies and each company has dozens of plans that an employer can purchase for an employee. We encourage all patients to be advocates of their own health. But rest assured that we will do everything in our power to make sure you get the full benefit owed to you by your insurance company.
Here are a few reasons why you may have received a bill:
• Your insurance plan paid a lower percentage than expected for the procedure.
• The treatment you needed was not covered by your plan.
• The insurance company decided you did not need a procedure that the doctor identified as necessary or downgraded a procedure code.
• You have not met your deductible.
• You have not reached the end of your plan’s waiting period and are ineligible for coverage.
• You’ve maxed out your plan (used up all your benefits on other procedures) and no longer have coverage until the plan resets next year.
But insurance can be really confusing. That’s where we come in. We will take the time to explain your benefits to you as best we can. It’s why we have so much information on our website. We want to educate you so that you can be empowered to take charge of your health and get the full benefit of the insurance you work hard to pay for.
Q: THE DENTIST SAYS I NEED A CERTAIN PROCEDURE, BUT IT ISN’T COVERED BY MY INSURANCE. WHY NOT AND ISN’T THERE SOME OTHER PROCEDURE THAT WOULD WORK JUST THE SAME?
A: Our doctor diagnoses and provides treatment based on what you need, not based on what your insurance covers. Some employers or insurance plans exclude coverage for necessary treatment to reduce their cost. If you’re having trouble affording your dental care, ask us! We offer financing options and if the procedure allows, we can sometimes spread out treatment a little to help you afford it.
Q: MY DENTAL INSURANCE HAS CHANGED. WHAT SHOULD I DO?
A: Most employers distribute new insurance cards occasionally without changing the plan, but sometimes a plan changes without the distribution of new cards or a new group number. It’s always best to ask. If your plan changes or you have a new insurance carrier, call us to let us know about these changes right away. We can update your chart before your next appointment, saving you time waiting and filling out forms in the office. Plus, this will increase the accuracy of your estimated expense the next time you visit us!
Q: I SAW A DIFFERENT DENTIST THIS YEAR. HOW DO I KNOW HOW MUCH DENTAL BENEFIT I HAVE LEFT THIS YEAR?
A: We highly encourage you to call your insurance company and ask. And be sure to let our business staff know about any dental appointments you have had at another office during the benefit year. This will help to ensure you receive your full benefit at upcoming appointments.
Pure Design Dentistry does not accept Medicaid.