Our office is pleased to accept your insurance assignment. We offer this service as a courtesy to our patients. However, it must be clearly understood that the “contract” is between the patient and the insurance company. It is then the responsibility of the patient for any amount not paid by the insurance company. We encourage you to become familiar with your policy copayments/coinsurance, deductibles and exclusions.
As a courtesy to you, we will:
• Verify your benefits and eligibility
• Estimate your copay/coinsurance to the best of our ability
• Submit your insurance claim
• Resubmit your claim a second time within 60 days, if necessary
Our office does not guarantee that the patient’s insurance will pay. We will perform our routine insurance procedure upon verification of coverage. However, if for some reason the patient’s insurance claim has been denied, the patient is then responsible for the full amount of the bill.
• Copayments, coinsurance and deductibles are due at the time services are rendered.
• Out-of-network patients: The insurance company will send payment for services rendered to the patient’s home. We require the patient to promptly endorse the check over to the Dr. B.
• Non-insurance patients: Payment is due at the time services are rendered.
This agreement is to ensure that Dr. Borodaty will receive payment for services rendered in his office. After payment has been received from your insurance company, the patient is responsible for the balance on their account. If your bill becomes 30 days late, you will be required to pay 15% interest per month. If an account becomes delinquent and is sent to a collection agency, the patient will be responsible for the account balance along with the cost of the collection fees and any legal action taken.
For your convenience, we accept cash, checks, debit and all major credit cards. There is also outside financing available through <a href="https://www.carecredit.com/Pay/265QVT/">CareCredit</a>.
When there is a delay, for any reason, in receiving payment from the insurance carrier of more than 45 days, it is the responsibility of the insured to pay for services rendered and investigate the delay. We must emphasize that as dental care providers, our relationship is with YOU, not your insurance company.
We accept these dental insurance plans: Delta Dental, MetLife, UPMC Dental Advantage, United Concordia Dental and Aetna.
Our fees are based on the quality of the materials we use and our experience in performing your needed treatment.
If you would like to review your dental insurance and financial arrangement options with one of our team members in advance of treatment, please call (855) 842-6515.
Delta Dental
Delta Dental Plans Association is a not-for-profit organization with some for-profit affiliates as member companies. Through its 39 independent member companies, it offers national dental coverage to our Pittsburgh dental patients - administering programs and reporting systems that provide employees and individuals with quality, cost-effective dental benefits and superior customer service.
MetLife
MetLife offers our patients a range of competitively priced dental insurance benefits plans for companies of all sizes.
UPMC Dental Advantage
UPMC Dental Advantage offers competitive rates, convenient tools, and rapid reimbursement. **We do not participate with UPMC for You Medicaid and Medical Assistance Plans**
United Concordia Dental
United Concordia is a dental insurance company headquartered in Harrisburg, Pennsylvania, United States. It is one of the largest dental insurers in the United States. The company currently insures more than 8 million members worldwide. **We participate via UCCI's National Fee-for-Service fee schedule.**
Aetna
Aetna is a national leader of health and related benefits offering dental insurance to our Pittsburgh patients, as well as health insurance, pharmacy, and life insurance products for individuals, medicare insurance and disability.
Careington
The Careington Dental Network is one of the fastest growing independently owned dental networks nationwide, providing our Pittsburgh area patients with affordable dental care - without interfering with the dentist-patient relationship. More than 65,000 general dentists and specialists offer Careington's discount fee-for-service (POS) and PPO plans nationwide.
CIGNA
CIGNA offers a variety of dental plans and dental insurance to our Pittsburgh area patients, including CIGNA Dental Care (DHMO), CIGNA Dental PPO or CIGNA Traditional.
Dentemax
DenteMax is a national, credentialed dental PPO network offering more than 121,000 dentist access points across the country, including dental care in your area.
Anthem Blue Cross
Anthem Blue Cross offers dental coverage for individuals and families in California, including a PPO plan, and HMO plan and an international emergency dental program.
Blue Cross Blue Shield
Blue Cross and Blue Shield companies nationwide provide healthcare benefits to our dental patients as well as across the country and around the world. With access to the care you need and when you need it - Blue Cross and Blue Shield policy holders can have peace of mind when at home or traveling abroad.
HumanaDental
HumanaDental is one of the nation's 10 largest dental insurance carriers offering a dentist network with more than 130,000 dentist locations. Members and their families benefit from negotiated discounts by choosing dentists in its network.
Guardian
With a long history of providing dental benefits, Guardian gives eligible employees choice, empowering them to make the right decisions to improve their oral and overall health.
Ameritas Dental
At Ameritas Group, we put our customers first. That's why we're able to provide our patients and over 4.8 million other people with quality dental, vision and hearing care plans that fit their specific needs.
Dominion Dental
Dominion Dental Services (Dominion), incorporated in 1996, is a leading provider and administrator of dental and vision benefits in the Mid-Atlantic, offering managed care and indemnity programs, claims adjudication and comprehensive plan administration. Among our 800,000 customers are leading health plans, employer groups, municipalities, associations and individuals. Dominion is headquartered in Alexandria, VA.
Aflac
Aflac pays benefits to our policyholders without requiring them to first meet an out-of-pocket deductible - and policyholders can choose any dentist they want and still receive full benefits and coverage. Aflac bases its dental care benefits on the American Dental Association (ADA) code and spells out the benefits paid for both wellness and other diagnostic/treatment services.