We ask that parents be aware of their insurance benefits, deductibles, and limitations prior to visiting our office. There are hundreds of insurance plans, and we do not have the ability to know your exact benefits. We also ask that you have your insurance card/employer information with you when you come to your visit, and provide any information updates as they change, so that we may accurately submit claims to your insurance.
We are an “Out of Network” provider with all insurance plans. Some insurance plans will require that you see a provider who is “In Network” only to be able to use your benefits.
You would want to check with your insurance company to see if your plan has Out of Network benefits. Please note that if they tell you they will pay 100% of checkups, 80% of basic treatment, etc., that this is based on their ‘allowed’ amounts under the plan, and not necessarily our charges. Some will pay 100% of our charges and some will pay at a lesser percentage.
Many plans that have Out of Network benefits will pay our office directly, and then we bill the family for any balance not paid by insurance and ask that the balances be paid within thirty (30) days of our billing date. If your insurance plan will not pay our office directly, then we require payment at the visit. We will submit a claim on your behalf to your insurance company to reimburse you.
If you are Self-pay/No insurance – payment is due at the time of visit. Our office accepts Visa, Mastercard, Discover, HSA/Benefits Card, cash or check payment.
Below is a list of plans that Will/Will Not pay. These are subject to change, and it is always best to check with your insurance company to make sure this is current prior to your visits:
INSURANCES THAT WILL PAY OUR OFFICE DIRECTLY
(as of January 2025)
- Aetna Dental – PPO
- Aflac (Supplemental Plan, not an Insurance)
- Allegiance (a Cigna Company)
- Aflac/Argus Dental (regular employer plan)
- Ameritas
- Anthem Blue Cross/Blue Shield Plans
- Beam
- Blue Care Dental
- Blue Cross Blue Shield of IL
- Blue Cross Blue Shield of MA
- Capital Blue Cross Dental
- Careington Benefit Sol/Mail Administrator
- Cigna Dental – PPO
- Companion Life
- Delta Dental of CA-Tricare FEP (Retired)
- Delta Dental of GA:
- (Most pay us directly-some exceptions)
- Delta Dental of OR
- Delta Dental of RI
- Delta Dental of PA with:
- – Lancaster Tank & Truck Wash
- – Pequea Valley School District
- – Pfizer
- Delta Dental of VA:
- (Most pay us directly-some exceptions)
- Delta Dental of WA
- Delta Dental of WI
- Direct Pay/TASC
- Dominion Dental
- Equitable (payments are administered by UC)
- Everence
- Freedom Life Ins.
- GEHA (Federal Employee Program Plan)
- Guardian
- Human Resource Administrators
- Humana
- Humana Teamcare (UPS part-time emp.)
- Independence Blue Cross
- Kansas City Life
- Lincoln Financial
- Line Co.
- Luminare Health (formerly Trustmark/CoreSource)
- Loomis Company
- Meritain
- MetLife
- (Note: MetLife FEP Plan limited pymt.)
- Mutual of Omaha
- NEI Benefit Plan
- Patrolman’s Benevolent Association
- Premera Blue Cross
- Principal Life
- Reliance Standard
- Renaissance Dental
- Starmount (also known as Always Care)
- Sun Life Financial
- Teamsters of NJ
- The Standard Life Insurance Co.
- UMR
- United Healthcare
- United Concordia (UC) with:
- – Armstrong World Industries
- – Comcast
- – Penn State University
- – Timet
- – Tricare – Federal Employee Program (Active Duty Military – limited pymt.)
- UHC Golden Rule (limited pymt.)
- Unum
- UPMC – through employers-not State – (limited payment)
INSURANCE THAT WILL ONLY SEND REIMBURSEMENT TO THE SUBSCRIBER:
- BCBS FEP Plan
- Blue Edge Dental (administered by UC)
- Central PA Teamsters (admin. By Delta Dental)
- Delta Dental of AZ
- Delta Dental of AR
- Delta Dental of CA
- (all plans other than Tricare FEP Retired)
- Delta Dental of CO
- Delta Dental of IA
- Delta Dental of IL
- Delta Dental of KS
- Delta Dental of MA
- Delta Dental of MI
- Delta Dental of MN
- Delta Dental of MO
- Delta Dental of NJ
- Delta Dental of OH
- Delta Dental of PA
- (all plans other than those listed under WILL pay list)
- Delta Dental of TN
- Emblem Health/GHT
- Excellus Blue Cross Blue Shield of MN
- Highmark Blue Cross Blue Shield
- (parent company of United Concordia)
- Northeast Delta Dental
- United Concordia
- (all plans other than those listed under WILL pay list)
INSURANCES/STATE PLANS THAT DO NOT PAY OUR OFFICE OR REIMBURSE
PARENTS FOR OUT-OF-NETWORK CARE:
- Aetna Better Health
- Ameritas Caritas
- Blue Cross Dental CHIP
- Delta Care USA (this is a DMO plan)
- Geisinger Health
- Highmark Whole Care (formerly Gateway)
- United Concordia CHIP
- UPMC for Kids
