Dean C. Younce, D.M.D., P.A.

Oral and Maxillofacial Surgery

Financial Information

Financial Policy

Concerning Insurance:

A.         Patients who carry insurance should remember that services are rendered and charged to the patient, not the insurance company.  We will be happy to file an insurance claim for you, but please realize that we cannot accept the responsibility for collecting on the claim or negotiating a settlement on a disputed claim.

 

B.         A pre-authorization for surgery can be obtained from your insurance company, which will

                       give you a better idea of what they will cover, but the results take an average of 2-3 weeks to

                       get back to the office.

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C.         Even though an insurance claim is filed, you will receive a statement each month if your

                       account has a balance due.

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D.         If your insurance does not pay the balance of your account within 45 days, it will be your

                        responsibility to pay the remaining balance at that time.

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E.         Refunds are generated the first week of each month, should a credit balance occur after an

                        insurance payment.

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Payment Options:

A.        Cash – By paying for your entire treatment estimate at the time of surgery, you will receive

                        a 5% discount.  This does not apply to payment in full with credit cards or to services that

                        have already been discounted.

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B.        Checks – We accept checks. Since a check is not cash, no cash discount will be given.

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C.        Bank Cards – We accept Visa, MasterCard and Debit Cards.

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After insurance payments are posted, any outstanding balance is due upon receipt of the following billing statement.  A 1.5% finance charge will be added to all accounts after 60 days.

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Checks that are returned for non-sufficient funds will be subject to a $25.00 service charge.

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Any patient that does not give a 24-hour notice to cancel a surgery appointment will be charged $50.00.

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Delinquent accounts will be referred to a collection agency.

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You will be asked to give authorization for your insurance benefits to be paid directly to Dean C. Younce, DMD., P.A. We ask that you read the above Financial Policy for the office of Dean C. Younce, DMD., P.A. and understand that you are ultimately financially responsible for payment of services provided by Dean C. Younce, DMD., P.A.  Also, we will ask for authorization for Dr. Younce to release any information required to process this claim.

On the day of your consultation you will be asked to authoirize the following financial policy. Please feel free to preview this policy before arriving for your consultation.

On the day of surgery, patients with insurance are usually required to make a 30% pre-payment toward the estimated bill.  Any difference will be refunded once the insurance is received.  Patients without insurance are required to pay in full at the time of service.  You will be given an estimate of charges at the consultation.

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