Payment is due as service is rendered. As a courtesy to our patients we allow other
payment options within the guidelines of the policy.
CASH - If you make your payment in full for services rendered on the day of the
appointment, we allow a 7% courtesy for payment by cash or check.
CREDIT CARDS – We accept Visa, Mastercard, Discover, and American Express. If you
make your payment in full for services rendered on the day of the appointment, we allow a
5% courtesy for payment by credit card.
CARE CREDIT – We are pleased to offer Care Credit Finance to our patients. More information
can be found on www.carecredit.com
GROUP INSURANCE – Patients are responsible for payment at the time of the first visit.
If you have health insurance, you have the benefit of the insurance company assisting you in
the payment for your care. Most people don’t realize it, but insurance companies are a “third
party” involved in your health. The first party is you, and the second party is the dentist.
This is how it works.
Your dentist informs you of the care needed.
You agree to the treatment plan.
Definite financial arrangements will be discussed and agreed upon.
You are responsible for the differences not covered by your insurance carrier if
you have insurance.
There are two (2) ways of handling your insurance paperwork and your exchange with us.
The first way is to pay us directly and submit the insurance work yourself. The second way
is to utilize our free service of having us file your claim. We will gladly do this for you; but
if your insurance company fails to send payment within forty-five (45) days on your behalf,
the exchange is between you and our office. At that time, it is your obligation to pay the
fee promptly and directly to our office.
We ask that you bring your insurance information on your first visit so we may promptly
bill your insurance carrier. It usually takes three to four (3-4) weeks to receive payment
from an insurance company, so your cooperation will assist us greatly.
I have read the above and understand it fully.
JAMES E METZ, DDS