Ira R. Simon, DDS
Periodontics and Dental Implants
Corte Madera and Novato, CA
415-924-2501 and 415-897-7770
Our insurance coordinators deal with many different insurance companies. Some companies offer many different dental plans. These companies can change benefits, co-pays and deductibles many times throughout the year. We do our best to provide you with accurate coverage estimates based on information available to us. At times, it is almost impossible to accurately estimate our patients' insurance co-payment. Many insurance companies will not give out fees until after the treatment is completed. Dealing with these companies can be difficult and time consuming. As a courtesy, we ask that you keep us informed of any change to your insurance. It is important that all information about you and your insurance is current.
Although we will gladly file your claim on your behalf, you may wish to submit the claim yourself. In general, insurers process claims filed directly by patients faster than those filed by the dental office.
Further, most dental insurance policies are limited and often only pay for a portion of the procedure(s) that may need to be done.
Co-PaymentThe majority of dental plans reimburse approximately 30%-80% of treatment costs. With this in mind, we ask that 30% - 40% of the fee be paid at the time of service.
Private & Group InsuranceAs a courtesy to our patients with dental benefit plans, we will submit necessary claim forms, receipts, and other information to your insurance company. Please understand that your insurance policy is a contract between your and your insurance company and payments are dependent upon the premiums you pay and the benefits your company negotiates. We are not a party to that contract. If your insurance has not paid within 45 days, you will be responsible for the total amount of your balance.
Upon receipt of an insurance payment, any balance due will be billed to you. If you have deposited an excessive co-payment, it will be refunded to you.