If you other questions, we are here to help you. Feel free to contact us our visit our FAQ about being out-of-network dental provider.
Dear Delta Dental Patient,
We are writing to inform you about an important change involving our participation with your insurance provider, Delta Dental. As of May 1st, 2023, we will no longer be an in-network dentist with them, and we will be an out-of-network provider.
The biggest difference you’ll experience is that Delta Dental will now be sending reimbursement checks for the cost of your treatments directly to you rather than to our Sloan Creek Dental office. Therefore, you will need to pay for the entire cost of your visit at the time of service rather than just the estimated portion covered by your insurance.
You are more than welcome to remain a patient at our practice, and we sincerely hope you choose to do so! We will continue to accept and process your insurance as an out-of-network provider.
In recent years, maintaining our status as in-network providers while upholding the exceptional care we promise to our patients has become increasingly challenging. We refuse to jeopardize our standards of excellence by adopting shortcuts to adhere to the limitations imposed by dental insurance plans on their in-network providers.
With recent and continuous modifications introduced by Delta Dental have compelled us, along with numerous Texas dentists, to reassess the feasibility of staying within their network. We have arrived at a juncture where delivering the high-quality dentistry we cherish is no longer feasible under their contracts. As a result, instead of diminishing the elevated standards we’ve preserved since our inception, we have decided to relinquish our preferred status with Delta Dental.
Despite this change, we would very much like to maintain our relationship with YOU and are happy to continue to handle claim submissions on your behalf. Depending on your specific dental coverage (a function of what your employer has negotiated and purchased), there will be no contracted adjustments for our Delta Dental patients, and they may see an increase in out-of-pocket responsibility for their care.
Please understand that this decision was not taken lightly by our practice, as we know it will directly impact many of you, including some who have been with us for an extended period. While we would have preferred to discuss this with you face-to-face, we would like to inform you before your appointment next year and amidst the ongoing insurance/HSA/FSA open enrollment period.
We trust that the quality care you’ve experienced with us and the collaborative relationship we’ve established in support of your oral health will inspire you to remain a part of our practice. Nevertheless, if you decide to pursue dental care elsewhere, kindly inform us, and we will be more than willing to assist you during the transition.
Thank you for your time and understanding.
Warm regards,
Sloan Creek Dental Team
If you other questions, we are here to help you. Feel free to contact us our visit our FAQ about being out-of-network dental provider.
Absolutely not! We are delighted to handle all claim processing for you. Should you decide to switch your insurance, feel free to reach out to us with any inquiries about alternative plans beyond Delta Dental.
If your current dentist is an out-of-network provider, you can still see them if you have out-of-network dental benefits, but you may be responsible for a larger portion of the bill or a higher copay. The type of insurance you have will determine how much is covered and the dollar amount you’ll ultimately be responsible for.
To determine whether your dentist is an in-network or out-of-network provider, you can check your dental insurance plan’s provider directory or contact your dental insurance company directly. In-network dentists have signed a contract with the insurance company to charge established rates for specific dental services, while out-of-network dentists do not have such a contract and may charge higher fees. Additionally, many dentists’ websites include information on the insurance plans they accept, which can help you determine if they are in-network or out-of-network providers.
As we will be considered “Out of Network,” we will submit claims based on the UCR (usual and customary for our area) fees. These fees are consistent for all our patients, regardless of their insurance type or private payment status. We aim to optimize your benefits and ensure you are fully informed of all charges before commencing your treatment. Delta Dental typically processes and pays the claims within 1 to 2 weeks after submission.
There are many advantages by choosing an out-of-network dentist. Click on this link to see the many benefits of choosing an out-of-network dentist.