Dental Insurance and Payment Options

In-Network Status:

United Concordia PPO

Aetna PPO

Aetna Medicare

Careington Serviced Plans

Colonial Life PPO

Delta PPO

GEHA PPO

Guardian PPO

Humana PPO

Medicare HMO

SunLife PPO

UPMC Dental Advantage

UPMC for Life Medicare

WPEE

Out-of-Network Status:

Cigna PPO

Dentemax Serviced Plans

Metlife PPO

HMO plans 

We do not take:

DHMO plans

Medicaid plans (including UPMC for You, Highmark WholeCare, Gateway, etc.)

Government Assistance Plans

What does this mean for me?

For in-network plans: We are a contracted provider office and adhere to the fee schedule set forth by the insurance company. We send out claims on your behalf and receive payment directly from your insurance company. You are responsible for your plan deductible and coinsurances as determined by your plan.

For out-of-network plans: We are not a contracted provider office but we will still gladly send out claims on your behalf. Your plan will often have comparably or even identical coverage between in-network and out-of-network providers, so the difference in your cost is usually negligible. In some cases, you may be liable for the difference between the fee schedule allowance and our office fee. Depending on the insurance company, some send payment to our office while others send payment to the patient for which we will then send out an invoice.

For plans we do not accept: We will not send out claims on your behalf, but will instead print a claim form for you if you require one to be reimbursed. Payment for services is expected on the appointment date and will use our office fee schedule.

I still have questions!

Please feel free to contact our office if you have specific questions about your coverage! We will do our best to help answer them but please allow us some time to get back to you while we look up your specific plan. We may be unable to answer every question. However, since some insurance companies don’t give us access to all the information, calling your insurance company is also an excellent option for additional questions.