Dental Benefits
Many of our patients have dental benefits. We encourage each of
our patients to become familiar with the coverage they have. To
simplify the process for all of us, we have adopted the following
policies. First, we expect our patients to take full responsibility
for the payment of our fees. Our contract is with you, not with
your insurance company, and we will happily document all your
needs and care received in our office, but we do not accept assignment
of dental insurance benefits. We will gladly help you with the
process of claims submission. We provide all the necessary information,
send any required documentation that is requested by insurers,
we respond to any information requests, both writing letters of
explanation and even having conversations with insurer consultants
to try to help you get all the coverage that you deserve. If insurance
coverage is in doubt, we will be happy to submit a "pre-treatment
estimate of benefits" to the insurance company.
Second, you should be aware that most insurance plans do not
cover certain types of dental treatment. The common examples of
these are cosmetic procedures; restoration need due to excessive
wear on teeth, and procedures where the insurance companies feel
a cheaper (not better) option is available. For example, an insurance
company may substitute the benefit for a silver filling when a
superior tooth colored filling is placed. Coverages are arbitrarily
downgraded by insurance companies so that they can pay fewer benefits
on your behalf. Our office cannot predict when this will happen.
Why Can't I Find Your Name On My List?
We are occasionally asked why we don't participate in a particular insurance plan, or if we would begin to participate in a plan that is cheaper for the patient to purchase.
As you are probably aware, the health care field is undergoing a period of change in the manner in which care is provided to the public. There are many insurance plans that are being promoted that restrict your choice of doctor to those on a specific list of participating offices. The participation agreement between those plans and the providers usually requires the provider to deliver care at a discount to those patients covered by that plan. For some plans the discount is small, for some it is not.
Our orientation has always been to provide quality care. We use those supplies and materials we consider to be the best available. We use excellent laboratories and support services. We have an excellent staff of qualified professionals, and we take the time necessary to provide for quality treatment. We always look for value but we don't compromise quality. Our practice has grown and continues to grow through referrals from our patients. These referrals are indicative of the high level of care and service we strive to provide. Compare that with a referral from an insurance company. Upon what do you think their referral would be based?
We do not participate in any plan that would encourage a more 'retail' philosophy of practice. Dentistry is a service, not a product. For those plans where a filling is a filling and a crown is a crown, it's always possible to find a cheaper way. For us, the manner in which that service is provided and the attention to details makes all the difference. We do not participate in plans that require us to discount our treatment and encourage us to make up the difference in volume. Nor will we make a practice of charging patients different fees for identical services depending on which insurance plan, if any, they belong to.
There is enough diversity in today's dental marketplace for everyone to find a practice whose values they share. I hope this adequately describes our values.
Location
Our office is located in Scurlock Tower, a professional building
owned and attached to The Methodist Hospital, in the Texas Medical
Center. Many of our patients have all their medical providers
here in Scurlock Tower, and Methodist Hospital is a terrific place
for care. The close proximity of medical care also gives us very
quick medical emergency care if ever needed. Please refer to our
map.