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Patient Forms
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IF YOU HAVE DENTAL BENEFITS HERE ARE
SOME THINGS YOU SHOULD KNOW!
At Dr. Boholst's office,
we believe that you deserve the best care.
That’s why we always present you with the best dental solution possible to treat
your personal situation. Each year we provide outstanding dental care to
hundreds of folks. Some have dental benefits but most don’t. If you have dental
benefits, congratulations! You are very fortunate. Here are some important
things you should know…
 | Many dental benefit plans tell their
participants that they will be covered "up to 80% or 100%" but do not
clearly specify the plan fee schedule allowance, annual maximum or
limitations. It is more realistic to expect dental benefit plans to cover
between 25% to 40% of dental services. Remember that
the amount a plan reimburses is determined by how much your employer has paid
for your dental benefit plan. You will get back only what your employer
has put in,
less the insurance company’s profit margin.
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| Your dental benefits are based upon a contract
made between your employer and an insurance company. If you have any questions
regarding your dental benefits please contact your employer or insurance
company directly. |
| Dental benefits differ greatly from medical
benefits. In 1959, most dental benefit plans had a yearly maximum cap of
$1,000. You’ll be surprised to know today that the average dental benefit plan
has a yearly maximum cap of $1,000. There has been no
significant increase in the yearly maximum cap in 40 years!
However, there have been significant increases in your premiums. Dental
benefit plans will never pay for completion of your dental care. It is only
meant to assist you. |
| Many people receive notification from their
insurance company that dental fees are "above usual and customary." An
insurance company determines their reimbursement level by surveying a
geographical area, calculating the average fee, then determines that 80% of
the average fee is customary. Included in this survey are discount dental
clinics and managed care facilities, which have severely reduced dental fees
that bring down the average. Any doctor in private
practice will have fees that insurance companies define as "higher than usual
and customary." |
| Insurance companies do NOT
recognize many routine and newer dental services. |
Our team members will gladly assist you in
filling out the necessary forms to maximize your dental benefits and discuss
your financial options. Excellent dental care is available with or without
dental benefits. We hope you will choose the best that dentistry has to offer.
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