Q: Does insurance pay their portion all at once?

A: The same way patients pay their total treatment fee on a monthly basis, many insurance do over the course of treatment as well. Other insurances, will pay quarterly, and some even biannually.

 

Q: Will insurance automatically pay the maximum allowed?

A: Usually, but not always! Insurance will cover a percentage of the allowed amount UP TO a maximum. Whichever of the amounts is lowest.

 

Q: What is a Medically Necessary Clause?

A: This clause states that in order for the insurance to give out the orthodontic benefits, treatment must be needed to correct a severe condition. This type of treatment usually involves surgery. Dr. Ashley Smith and your treatment coordinator will be able to let you know if your treatment is medically necessary.

 

Q: Will insurance cover a replacement retainer?

A: Unfortunately, insurance will pay out for full treatment only. Claims submitted for retainers will be rejected.

 

Q: What insurances is Dr. Ashley Smith and Next Level Orthodontics in network with?

A: Here is the list! We are in network with most private pay insurances!

  • Aetna- PPO/DHMO
  • Ameritas- PPO
  • Blue Cross Blue Sheild- PPO
  • Carrington-PPO/SAVINGS PLAN
  • Cigna- PPO/DHMO
  • Connection Dental- PPO
  • GEHA- PPO
  • Delta Dental- PPO (NOT DHMO DELTA CARE)
  • Dental Select- PPO
  • Dentemax- PPO
  • Sunlife- PPO
  • Guardian- PPO/DHMO(MANAGED DENTAL GUARD)
  • Humana- PPO/DHMO
  • Metlife- PPO/DHMO (SAFEGUARD)
  • Principal- PPO
  • United Health Care- PPO
  • United Concordia- PPO / TRICARE

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