“How come you don’t directly bill the insurance companies?”

Less and less so called “assignment dental offices”  are doing this. While it seems easier on the patient, privacy policies, complicated insurance plans and costs are causing a lot of dental offices to abandon this practice.  Even the Ontario Dental Association is encouraging moving to “non-assignment”:

Why the ODA Opposes Assignment

The ODA is opposed to assignment of benefits and actively encourages dental plan sponsors to make their dental plans “non-assignment” plans. Many people wonder why the ODA would oppose a process that many find convenient.

The answer lies in the fact that “non-assignment” dental plans can be less expensive than those that allow assignment, simply because the act of a patient paying for their dental care makes them financially involved in their oral health care. This provides very a good incentive for the patient to use their dental plan wisely. Dental claim reimbursement is much faster than it was years ago, and patients are finding that when they pay the dentist directly their reimbursement cheque is received quickly; greatly minimizing the time they are out of pocket. It is not unusual to see the dentist on Monday and have the reimbursement cheque before the end of the week, thanks to electronic claims submission.

Also, many dentists accept credit cards, which typically have a monthly billing cycle. If complex treatment is necessary, dentists can arrange a payment schedule that allows a patient to budget for expenses and get reimbursement that is more conveniently timed.

Active decision-making about oral health care by patients and meaningful involvement in the financial matters of dental care, including the dental plan, is an important part of achieving excellent oral health care.

Source: https://www.oda.ca/visiting-the-dentist/dental-benefits/

Find out what you are covered for

The privacy act prohibits us from finding out what you are covered for. So please contact your insurance company or consult your company brochure to find out.