Here at Drs. Schelkun & Kienle Associates we strive to provide you with the finest clinical and professional oral and maxillofacial surgical care in the Delaware Valley.
We are committed to helping you maximize your benefits for the procedure recommended by your oral surgeon. We will work with you in the process to see the successful completion of your claim.
Please call our business office at 215-675-2760 prior to your procedure if you have any questions. We do suggest that you contact your insurance carrier or benefits administrator for any specific questions you may have regarding your insurance benefits and eligibility.
Please assist us by bringing the following insurance-related information with you to your initial visit / consultation:
- Your surgical referral slip and any X-rays from your referring dentist
- Payment or proof of ACTIVE insurance coverage is due at the time of service
- If you have medical or dental insurance, please bring your cards so we can have the most accurate and up-to-date insurance and billing information. We need to photocopy the actual insurance card(s). This will allow us to process your claims accurately and timely.
- Most managed care plans (HMO and DMO) require a referral from your dentist or primary care physician. It is the your responsibility to have your referrals before your visit, treatment or surgery, otherwise your insurance may not pay for your visit, procedure or surgery.
- MediCare Patients: Medicare does NOT pay for dental services, regardless of any related health condition. We do not bill Medicare for dental services and payment is due at the time of service.
Patient Copayments & Deductibles:
It is your responsibility to know your insurance coverage and benefits. Please verify your coverage with your insurance carrier prior to any procedure or surgery. All copays and deductibles are to be paid at the time of your surgery.
The Federal Government and the Office of Inspector General has ruled that the waiver (non-collection) of patients’ financial liability (Copayments and deductibles) as determined by a patient’s insurance company is considered insurance fraud. Physicians who have signed contracts with any insurance company are legally obligated by law to collect your copayment and/or deductible as stated by your insurance company.
Your insurance company considers your out-of-pocket expense an important element of your insurance coverage design. It is intended by your insurance company and employer, to keep you mindful of the true nature of your health care costs by having you share in the costs by paying your copayment, deductibles and/or coinsurance. Waiving a member’s (patient’s) deductible, copayment, and coinsurance amount is misrepresenting the actual charges for the services provided and therefore it is considered fraud by federal statute.