We deal with dental insurance on a daily basis and want to enlighten all our patients as completely as we can about dental insurance and our involvement with it.

We routinely assist our patients with their insurance whenever possible before performing any treatment. We never know exactly what any company will do in any given situation regarding participating provider status. For example, just this week we received payment from Delta for an HP employee (HP had Met Life up until this year) and it was 100% of our fees as was their Met Life previously and we are not and were not preferred providers for either company. The situation applies for many other companies but all companies have hundreds of contracts each and depending on the contract or specific employer they may cover the patient more if they go to a preferred provider than a nonpar but we never know until checked.

We recommend that you obtain a hard copy of your dental insurance program and familiarize yourself with it and bring it with you. Interestingly, if we were to become a part of Delta of Colorado’s PPO we would be receiving about 20% less than our fees (unless we were to move to Longmont where they have a higher table of allowances) and yet not being a part of their PPO they pay out benefits according to our full fees for HP employees covered by Delta. I hope this helps those who did not know how PPO and non-PPO function.

Rest assured, as always, we will do everything possible to make sure our patients receive the highest possible reimbursement from their insurance company.