Dental Insurance Plans & Billing Information
We offer direct billing to your insurance company and we accept Healthy Smiles Ontario.
Dental Insurance Plans
Our friendly staff members are able to submit claims directly to your insurance company on your behalf. Please bring all of your insurance information with you to your appointment to ensure we have everything on file. Our downtown Hamilton dental office will also be pleased to provide you with a ‘predetermination’ form with the billing codes detailing your proposed treatment or submit them directly to your insurance provider, if you prefer.
How Does It Work With Private Dental Insurance?
During your consultation, we will give you a pre-determination of how much your procedure will cost.
Once we receive the insurance predetermination, we will give you an estimate of your costs due the day of treatment. For example, procedure costs $500, your insurance pays $420, you only pay the difference ($80) on the day of the appointment.
For your convenience, we collect the money from your insurance company and you are only responsible for the difference that is not covered.
You don’t have to delay treatment because you can’t afford the FULL payment. We believe this is the way it should be.
Should you have any questions about insurance coverage, how we submit your information to your company or any other billing questions, please do not hesitate to contact us today. We are always happy to answer all of your questions.
Privacy and Records
All information that you are asked for, or provide voluntarily to your doctor or the staff in this office is confidential. On January 1, 2004, a new federal law referred to as PIPEDA (Personal Information Protection and Electronic Documents Act), was brought in. It covers all aspects of personal information collection, uses and disclosures in the course of commercial activity, which includes your visit to this office. Part of the legislation is designed to make sure that you are aware of your rights with respect to your personal information. We will ensure that all aspects of the handling of your information are explained to your satisfaction.
Collection of Information
We collect information that is important in your care. This information is related to your physical care (such as medical history and allergies) as well as contact and financial information which will allow us to provide insurance forms and payment receipts. All records will be stored in a secure environment for as long as required by law and then disposed of appropriately.
Use of Information
Your personal health information will only be used for the care provided by us. This may include sharing of limited information with laboratories, the hospital, your referring doctor and others where necessary to ensure proper communication for your care.
You are entitled to access your personal records to ensure accuracy and make necessary corrections. The original physical records are our responsibility and we cannot give them to you, your legal representative, or anyone else unless such release falls under specific legislative or legal mandates. However, you or your designated representative can have copies of your files or x-rays with your written permission. Our office’s PIPEDA protocol and compliance information is also available upon request.
8 a.m. – 3:30 p.m.
We are here to answer any and all questions you may have regarding your sedation dentistry appointment.