PATIENT FORMS

FINANCING YOUR DENTAL CARE

At Precision Implant Care, we believe that finances should never be the determining factor in providing care.  We believe in making top-quality care as accessible as it can be for every patient. As a result, we offer a wide variety of payment options and financing plans.

 

The investment for your dental care will depend on your individualized treatment plan. A member of our team will discuss the investment with you, along with payment options, allowing you to determine the best course of action for yourself or a member of your family.  We will always review your investment before beginning treatment.

 

At Precision Implant Care we work with most insurances and we are always happy to bill your insurance on your behalf.  While we are not contracted with any dental plans, we have found that our patients are very satisfied with the level of reimbursement received in our office, on their behalf.  We make every effort to always estimate your insurance reimbursement and savings for all of your procedures.

 

There are many ways we can assist you in receiving the dental care you need in an affordable and manageable way.  We work with all budgets and we are here to assist you with all your dental needs.  We are a fee-for-service practice.  All estimated patient payment portions are expected at time of service:

  • SAVE 5%:  Payment in full at time of scheduling and save 5% off of your dental treatment.

  • 6 MONTHS INTEREST FREE FINANCING:  Convenient dental financing through BlisPay, CareCredit or Lending Club. Financing offers include up to 60 months financing at a low fixed interest rate or 6 months interest free.

  • PAY AS YOU GO:  Payment in full for each procedure completed at time of service.

  • 3 or 6 MONTH IN OFFICE PAYMENT PLAN:  Convenient payment plans offered to select treatment proposals allowing our patient to make 3 or 6 months payments with a credit card on file.

PAYMENT TYPES ACCEPTED

  • Cash

  • Checks

  • Visa / Mastercard

  • Discover Card

  • American Express

  • CareCredit 

  • Lending Club

  • BlisPay

OFFICE POLICIES

Financial Policy

Payment is expected as services are rendered. We accept Cash, Visa, MasterCard, American Express, Discover, CareCredit, LendingClub, BlisPay, and personal checks.

For those patients who are covered by insurance, we will be happy to bill on your behalf, whenever applicable.   Verification of benefits is not a guarantee of coverage. Medical necessity is up to the determination of your insurance provider. You, the patient, may be responsible for services, as Dr. Mikhli and Dr. Eisenberg are not contracted with any insurance company.

 

We will collect payment at the end of your visit, and submit an insurance claim on your behalf. We will not accept assignment of benefit from your insurance provider, therefore the reimbursement check will be mailed directly to you.

 

Any outstanding balance that is your responsibility will be expected to be paid in full within 30 days of notification.

Please understand that you will be expected to pay for all applicable fees the day of service. As the patient, you are responsible for the full cost of your visit. Dr. Mikhli and Dr. Eisenberg and their team can not guarantee any reimbursement from the insurance company.  As the patient, you need to assume responsibility of notifying Precision Implant Care of any changes in insurance coverage.

Privacy Policy

Dear Patient:

 

With the passage of the Health Insurance Portability and Accountability Act (HIPAA), the federal government has new rules about how physicians and medical practices use your personal medical information. Maintaining patient confidentiality and safeguarding the appropriate use and disclosure of this information have always been a part of our practice. the new law is largely a formal, regulated framework for privacy issues.

 

We are providing you with our formal Notice of Privacy Practices (click button below).  Please take the time to review it carefully.  The new law requires us to verify that we have provided this Notice to you today.  We would appreciate your signature acknowledging the receipt of the Precision Implant Care Notice of Privacy Practices.  The acknowledgement form is in your new patient paperwork packet.

 

Thank you very much.

 

Sincerely,

Precision Implant Care

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