Orthodontic fees are determined at the initial consultation appointment if a patient is deemed ready to begin. The fee is individualized, and is based on the complexity of the orthodontic problem and the types of appliances required to correct them. There may be multiple ways to treat a single problem.
Most patients choose to take advantage of an interest-free payment plan to handle the fee. You will have the opportunity to discuss fees and payment options before treatment begins. For your convenience, we accept cash, personal cheques, VISA, MasterCard, and Interac payments.
There are many different agreements between insurance carriers and their subscribers, with each contract providing a different benefit. Orthodontic insurance generally differs from regular dental insurance in that each insured individual usually has a lifetime maximum benefit for orthodontic services. This benefit is usually paid as a percentage of the orthodontic fee (diagnostic records, initial fee, monthly payments, etc.) until the benefit maximum has been reached.
For your convenience, we will gladly assist you in submitting predetermination forms pertaining to charges for care rendered in our office. However, please note that our primary financial relationship is with our patients or their families and not with their respective insurance companies. Final responsibility for collection of benefits from your insurance company rests with the insured party. Our professional services are rendered and charged directly to the patient or their family and they are responsible for payment of all fees incurred.
Here are some of the questions to ask regarding the specifics of your coverage:
- Do I have orthodontic coverage under my dental insurance policy?
- Are there any age limitations or restrictions for the orthodontic coverage?
- What percentage of the orthodontic fees is covered?
- Is there a lifetime maximum?
- What is the amount covered by my benefits for orthodontic diagnostic records?
- Will you provide a lump-sum reimbursement if the fee is paid in full at the start of treatment?
If you are contacting your insurance company by phone, we recommend that you note the date, time, and name of the insurance representative that confirmed your coverage. However, you must submit the Certified Specialist in Orthodontics Standard Information Form (“pre-determination form”) that we will provide you with when your treatment plan is decided upon, to notify your insurance company of the treatment and to ensure accurate processing of your future claims.
You should receive a written response and explanation of benefits within 2-4 weeks to confirm the specifics of your orthodontic coverage.
Please do not hesitate to contact us at 905-725-9530 if you have any further questions or concerns. We would be happy to help!
Book your treatment
Call our office today at 905-725-9530 to schedule your treatment, as timing and availability can be limited. Meeting your ideal schedule requires planning and coordination.