Why Is Dr. Balota Going Out-of-Network
When making big decisions at Balota Family Dentistry, our most important consideration is always the same – what is the best choice for our patients? It has become increasingly clear that dental insurance is not in the business of maintaining or improving your oral health. We have seen this in them trying to dictate treatment from what is allowed to what is not allowed when they have not even examined your mouth or have the credentials/training to do so. On top of that, dental insurance coverage ranging from yearly maximums to maximum payouts per procedure has not changed since 1970. So, while the price of living and inflation has made its way into today’s time, your insurance’s coverage amounts have not. This is where your dental insurance turns more into a discount plan as your out-of-pocket portion remains steep, even after their so-called ‘coverage’ amount is paid. Dental insurance is not in the business of truly caring for you as they are not your doctor.
Understanding This Decision
It is our hope that you can recognize dentists are not trying to take advantage of you. For example, the yearly average dentist’s salary is around $150,000 a year while dental insurance companies, such as Delta Dental, bring in a whopping 7.9 billion dollars in revenue for one year. If you truly want to know who is profiting from your dental care, look no further than your dental insurance carrier. These companies are making the majority profit with little to no regard for your oral health or oral needs. What also needs to be mentioned are the acts our office, and many others, do for our patients even amid insurance chaos. In the terms highlighted within your dental insurance agreement, you will find that the responsibility is yours to file claims and manage your coverage. In simpler terms, it is the patient’s responsibility to work with their insurance to find out their estimated portion and to receive reimbursement for treatment or procedures they are required to pay doctors in full. To save you the trouble, stress, and worry – we take these necessary steps for you as a courtesy.
What This Means for You
What, then, does going out-of-network mean for you? Our office going out-of-network with your insurance means the continued use of the best material, treatment, and preventative care without limitations or borders set by insurance companies. The tailored care you will receive here at Balota Family Dentistry will go above and beyond any type of tailored ‘coverage’ your insurance claims to provide. Regardless of your decision, regardless of which insurance provider you have – we would still love to keep you as a patient. As an out-of-network doctor, our team will continue to give you the courtesy of filing all your insurance claims. However, instead of us receiving a check for reimbursement, the check will go to you – the patient. In this new relationship your insurance carrier can take the backseat and you can be confident in knowing that you are receiving the best possible care. Our team at Balota Family Dentistry is committed to you and is committed to offering much more than your dental insurance ever has: high quality dental care every time, no exceptions.
Sincerely,
Dr. Nora Balota
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