At Kingsway Oral and Maxillofacial Surgery, we make every effort to provide you with the finest care and the most convenient financial options. If you have any questions, please contact our facility and ask to speak to one of Business Administrative staff. They are well informed and up-to-date on most insurance queries.
Dental plans in the marketplace today are numerous and varied and therefore it is difficult for us to know the details of each individual plan. Your particular dental plan may or may not cover the full extent of the costs you incur for your dental treatment. The reimbursement level of your plan for specific procedures may differ from our office fees. It is your responsibility to pay any deductible amount, co-insurance or any other balance not covered by your insurance company.
The particular plan that you have is a contract between you and the company providing benefits. THE FEES AND PAYMENT FOR TREATMENT ARE YOUR RESPONSIBILITY AS THE PATIENT OR GUARDIAN. It may be to your advantage to have a predetermination of benefits completed prior to surgery in order that you may better understand what your insurance plan covers. Your signature on your file is your authorization for the release of information to process your claim. As well, your signature on a financial itemization is your acknowledgment of your financial responsibility for all charges. We will be happy to assist you as much as possible in completing the dental claim forms for both pre-determinations and payment.
In the event of default of payment you will be responsible for all collection costs, bank charges, attorney fees, and court costs. Your signature on your file is your authorization for the release of information to process your claim. As well, your signature on a financial itemization is your acknowledgment of your financial responsibility for all charges.