dental Insurance & Payment
The staff at Gateway Dentistry Group is here to help simplify using your dental insurance at our Grande Prairie dental practice. You can also depend on us to clearly explain all required costs covered and not covered by your particular plan. We fully inform our patients about their dental procedures and financial obligation, and this page contains an overview of our policies. If you still have any questions not answered here, please contact us about your dental payment at our Grande Prairie office.
At Gateway Dentistry Group, we make every effort to provide you with the finest dental care at the most reasonable cost. Therefore, payment is due at the time service is rendered, unless other arrangements have been made in advance. For your convenience, we accept Visa, MasterCard, debit, and cash. If you have questions regarding your account, please contact us at 780-539-3555. Many times, a simple telephone call will clear any misunderstandings.
Please remember you are fully responsible for all fees charged by this office regardless of your insurance coverage.
Your dental plan is a form of compensation provided by your employer. The portion paid is determined by the contract between your employer and the insurance company. The higher the premium paid by your company, the more generous the coverage. Although we are not a party to the agreement between you and your insurance company, we will help you receive the maximum benefit to which you are entitled. We will also gladly provide dental X-rays and a written diagnostic report should your insurance company have any questions about the services provided.
For your convenience, Gateway Dentistry Group accepts assignment payments from all insurance companies. While some of our more advanced options may require a deposit as confirmation, we will accept payment from your dental plan provider prior to treatment to put your mind at ease.
At all times, you can be confident that we will always provide you with our best services without regard to the limitations imposed by your insurance coverage. To do otherwise would violate our contract with you – a contract we feel morally obliged to honour.
Do you do direct billing?
Yes, we do to most insurance companies who allow direct billing. However, with items that need additional paperwork, such as crowns, we have to submit your insurance claim manually with the lab bills.
Do you accept American Express?
No, we accept MasterCard, Visa, debit, and cash.
Might I have to pay something even if I have insurance? I should have 100% coverage.
All insurance companies have their own payment schedules for the services they cover, which have not been updated since 1997. When insurance companies say they cover 100% of a service, they mean they will reimburse 100% of their fixed rate. However, their rate may not cover the total fee required by your dentist. Insurance companies also set annual maximum payouts. Consult your dental insurance policy for your specific amount.
Will your staff know what my insurance covers and my maximum coverage?
We do not get a copy of each person’s individual insurance plan; therefore, it is the patient’s responsibility to know what their insurance coverage entails. Refer to your dental insurance policy or call your insurance company for assistance.
How long will my insurance company take to contact the dentist about my predetermination?
It depends on whether we can send the treatment information electronically or if it has to be mailed. If we can send it electronically, they will receive it right away. Sometimes we will know what they cover instantly. With mail, it will take at least 2 weeks for them to receive your forms and additional week to review them.
Do you offer payment plans?
No, but we do work closely with a third-party company to ease the stress of completing your treatment.
How much do you charge for a filling or extraction?
We do not give estimates without you seeing a dentist first as prices depend on the size of filling and which tooth it is on. For extractions, it depends on the difficulty of the extraction. We can give you a very general estimate based on our highest price if you can tell us which tooth you are having issues with.
What is the cost for implants?
Implants are not estimated without a consultation because treatment varies from patient to patient to help obtain best results based on their case.
Why do I have to pay a deposit for a crown?
We have to send the impressions out to an outside source to be fabricated, and we will not know the exact price until they return the finished crown to our office. Your insurance will not tell us how much of the lab costs they will cover until they receive the bill. The deposit ensures we have the funds on your account to cover that bill.
Why do I have to pay a deposit for surgery?
Surgeries require a number of additional costs for nurses, anesthesiologists, and additional supplies. We also have a lot of patients waiting to come in. The deposit ensures patients show up to their appointments and follow instructions, which helps make sure the booked time is filled.