Insurance

Our 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. 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.

Dental Insurances:

ADDP – Active Duty Dental Program
Aetna – not with ALL plans
Ameritas – only if administered through Principal Financial
Assurant – only if administered through GEHA Connection Dental
Blue Cross Blue Shield Regence – of Utah only, not on PPO (ValueCare)
Cigna – Core & Radius, not with all Cigna plans
DeltaCare USA
Delta Dental
Dental Select
DMBA
Educators EMIA
GEHA Connection Dental – not plain GEHA
Guardian Dental Guard Preferred
Lincoln Financial Group
Lincoln Dental Connect – only if administered with GEHA Connection Dental
Metlife
ODS (Delta)
PEHP – not Summit Care plan
Principal Financial
SelectHealth
Tall Tree Administrators – only if administered through First Health Admin
United Concordia
United Healthcare Dental – only if administered through GEHA Connection Dental
Washing Dental Service (Delta)
Wellcare – only if administered through GEHA Connection Dental

 

Medical Insurances:

Aetna – not with ALL plans
Blue Cross Blue Shield Regence – of Utah only, not on PPO (ValueCare)
Cigna – not with all Cigna plans
DMBA
First Health/ Coventry
Mail Handlers
Medicare
Medicare Advantage – through Sterling Health Plans
PEHP – not Summit Care
SelectHealth – only Care, Care+, & Choice, Not Value, Med, Med+, Access or HIPUtah
Sterling Health Plans – (Medicare Advantage PFFS)
Tricare – we are certified not contracted.  Tricare Prime has to go to contracted provider
Tall Tree Administrators – only if administered through First Health Admin
United Healthcare of Utah

 

Co-Payment - All co-payments are payable when you check in at the front desk.

HMO Patients - If a patient comes to us with a problem that they expect to be covered by medical insurance, (biopsies, tumors, TMJ, 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. 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.

Medicare Patients - Medicare pays us directly for your care. You are responsible for any deductible and co-insurance. Dental procedures (extractions, implants) are not covered by Medicare. If Medicare denies your procedure, you are responsible for the charges.

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.

If you have any problems or questions, please ask our staff. They are well informed and up-to-date. Please call if you have any questions or concerns regarding your initial visit.