Insurance & Financial Information

We accept most major insurances. The patient should bring all insurance information to their first appointment. We offer assistance in completing insurance forms as a benefit to the patient. We file the insurance claim for the patient. The patient’s immediate responsibility is to provide us with all of their insurance information.

There are many different agreements between insurance carriers and their subscribers. Each contract provides a different benefit. However, orthodontic insurance generally differs from regular dental insurance in that each insured individual usually has a lifetime maximum benefit for orthodontic services. This benefit is paid as a percentage of orthodontic fee until the benefit maximum has been reached. Charges for lost or broken appliances may not be covered by insurance.

For your convenience, we will gladly assist you in submitting both predetermination and initial insurance claims pertaining to charges for care and rendered in our office. However, please be aware our primary financial relationship is with our patients or their families and not with their respective insurance companies. Final responsibility for collection of benefits from your insurance company rests with the insured party. Our professional services are rendered and charged directly to the patient of their family and they are responsible for payment of all fees incurred.

Know what your benefits are before treatment starts. If you are not sure, contact your insurance company so you know exactly how much you can expect to be paid and when to expect payment. If desired, we will submit a pre-treatment claim for determination of benefits for you.

We cannot render services on the assumption our charges will be paid by an insurance carrier. For your convenience, we will accept payments from your insurance company assigned to us by the insured.

At Potter Orthodontics we want to make sure that you are informed in every step of your treatment. Don’t see what you need here? Feel free to contact us at either one of our offices and we will gladly answer any questions you may have or talk about your options! Yorba Linda Office: (714) 528-4540 Fullerton: (714) 526-3331

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