Patient Guide
New to Wampold Dentistry?
What to Expect
When you visit Wampold Dentistry, you will be met by our staff and guided on your patient responsibilities at check-in. As you settle in, enjoy a cup of hot coffee or a cold beverage.
Our treatment rooms are equipped with blankets to help you fully relax during your dental treatment, and we can provide audio headphones for watching television. For our sensitive patients, nitrous oxide and oral sedation are all available to ease you through procedures.
We do our best to make our guests comfortable and want your experience with us to be relaxing and rewarding. Our knowledgeable staff will assist you with any questions you may have, recovery specifics, future appointments, and referrals as needed.
Frequently Asked Questions
Your plan purchaser makes the final decision on “maximum levels” of reimbursement through the contract with the insurance company.
Even though the cost of dental care has significantly increased over the years, the maximum levels of insurance reimbursements have remained the same since the late 1960’s. Many plans offer higher maximums that are comparable to rising dental care costs.
Your dental plan may only allow benefits for the least expensive treatment for a condition. For example, your dentist may recommend a crown, but your insurance may only offer reimbursement for a large filling. As with other choices in life – such as purchasing medical or automobile insurance, or buying a home – the lease expensive alternative is not always the best option.
Just like your medical insurance, your dental plan may not cover conditions that existed before you enrolled in the plan. Even though your plan may not cover certain conditions, treatment may still be necessary.
Your dental plan may not cover certain procedures or preventative treatments such as sealants that can save you money later. This does not mean these treatments are unnecessary. Your dentist can help you decide what type of treatment is best for you.
If you have questions regarding your dental plan, or a problem with a reimbursement level, contact your employer or insurance company. Your dentist or the financial manager of your dental office, may also be able to help explain dental plan issues to you. However, your dentist may not be able to answer specific questions about your dental plan, or predict what your level of coverage for a procedure will be. This is because plans offered by the same employer or written by the same third-party payer can vary according to the contracts involved.
Dental Insurance
The American Dental Association recognizes the important role dental benefits have played in improving access to dental care for millions of Americans and is working with insurance policymakers to help set better standards within the industry.
Under a UCR plan, patients are usually allowed to see the dentist of their choice. These plans pay an established percentage of the dentist fee or pay the plan sponsors customary or a reasonable fee limit, whichever is less. Although these limits are called customary, they may or may not reflect the fees that area dentists charge.
It may also be noted on your bill that the fee that your dentist is charging you is higher than the reimbursement levels of UCR. This does not mean your dentist is overcharging you; for example, the insurance company may not have taken into account up-to-date regional data to determine a reimbursement level. Why? There is no regulation as to how insurance companies determine reimbursement levels resulting in wide fluctuation. In addition, insurance companies are not required to disclose how they determine these levels the language used in this process may be inconsistent among carriers and difficult to understand.
