How are Appointments Scheduled? 
Do I Stay with My Child During the Visit?
What About Finances?
Our Office Policy Regarding Dental Insurance


How are Appointments Scheduled?

Children tend to do better in the dental office when they are not tired.  Therefore, we encourage morning appointments, especially for preschool or nervous children.  For many children, a simple filling at the end of a long day, when they are tired, can seem like a major ordeal.  Please keep in mind that one of our goals is provide a dental experience that is as pleasant as possible for your child.  Dr. Franz will determine based on your child's age, treatment indicated and cooperation level when it will be best to schedule their appointments.  Also keep in mind that a dental appointment is an excused absence from school, and we can always provide you with a form stating your child was seen in our office for treatment. 
 
When we schedule an appointment for your child, that time is reserved solely for your child.  We do not double book and we take pride in the fact that because we value your time, as much as we hope you value ours, we make every effort to see your child at the time scheduled.  For this reason, it is very important that you have your child in the office at the time scheduled.  If you are late, it may be necessary to reschedule your visit.  We also have a policy that a 24-hour notice is required for all cancellations.  We need this amount of time so that we can contact another family to offer this appointment. 
 
If we do not get the necessary 24-hour notice, we reserve the right to charge your account for a broken appointment.
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Do I Stay with My Child During the Visit?

We invite you to stay with your child during the initial examination this allows you to see where your child will be treated.   During future appointments, we suggest you allow your child to accompany our staff through the dental experience. We can usually establish a closer rapport with your child when you are not present.  We have found, and studies substantiate this, that children tend to do better in the dental situation without their parents present.  We ask that you allow your child to accompany our staff through the dental experience.  We are all highly experienced in helping children overcome anxiety.  Separation anxiety is not uncommon in children, so please don't be concerned if your child exhibits negative behavior.  This is normal and will soon diminish.  Our purpose is to gain your child's confidence and overcome apprehension. . For the safety and privacy of all patients, other children who are not being treated should remain in the reception room with a supervising adult.
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What About Finances?

Payment for professional services is due at the time dental treatment is provided. Every effort will be made to provide a treatment plan which fits your timetable and budget, and gives your child the best possible care. We accept cash, personal checks, debit cards and most major credit cards.
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Our Office Policy Regarding Dental Insurance

If we have received all of your insurance information on the day of the appointment, we will be happy to file your claim for you. You must be familiar with your insurance benefits, as we will collect from you the estimated amount insurance is not expected to pay. By law your insurance company is required to pay each claim within 30 days of receipt. We file all insurance electronically, so your insurance company will receive each claim within days of the treatment. You are responsible for any balance on your account after 30 days, whether insurance has paid or not. If you have not paid your balance within 60 days a re-billing fee of 1.5% will be added to your account each month until paid. We will be glad to send a refund to you if your insurance pays us.

PLEASE UNDERSTAND that we file dental insurance as a courtesy to our patients. We do not have a contract with your insurance company, only you do. We are not responsible for how your insurance company handles its claims or for what benefits they pay on a claim. We can only assist you in estimating your portion of the cost of treatment. We at no time guarantee what your insurance will or will not do with each claim. We also can not be responsible for any errors in filing your insurance. Once again, we file claims as a courtesy to you.

Fact 1 - NO INSURANCE PAYS 100% OF ALL PROCEDURES
Dental insurance is meant to be an aid in receiving dental care. Many patients think that their insurance pays 90%-100% of all dental fees. This is not true! Most plans only pay between 50%-80% of the average total fee. Some pay more, some pay less. The percentage paid is usually determined by how much you or your employer has paid for coverage, or the type of contract your employer has set up with the insurance company.

Fact 2 - BENEFITS ARE NOT DETERMINED BY OUR OFFICE
You may have noticed that sometimes your dental insurer reimburses you or the dentist at a lower rate than the dentist's actual fee. Frequently, insurance companies state that the reimbursement was reduced because your dentist's fee has exceeded the usual, customary, or reasonable fee ("UCR") used by the company.

A statement such as this gives the impression that any fee greater than the amount paid by the insurance company is unreasonable, or well above what most dentists in the area charge for a certain service. This can be very misleading and simply is not accurate.

Insurance companies set their own schedules, and each company uses a different set of fees they consider allowable. These allowable fees may vary widely, because each company collects fee information from claims it processes. The insurance company then takes this data and arbitrarily chooses a level they call the "allowable" UCR Fee. Frequently, this data can be three to five years old and these "allowable" fees are set by the insurance company so they can make a net 20%-30% profit.

Unfortunately, insurance companies imply that your dentist is "overcharging", rather than say that they are "underpaying", or that their benefits are low. In general, the less expensive insurance policy will use a lower usual, customary, or reasonable (UCR) figure.

Fact 3 - DEDUCTIBLES & CO-PAYMENTS MUST BE CONSIDERED
When estimating dental benefits, deductibles and percentages must be considered. To illustrate, assume the fee for service is $150.00. Assuming that the insurance company allows $150.00 as its usual and customary (UCR) fee, we can figure out what benefits will be paid. First a deductible (paid by you), on average $50, is subtracted, leaving $100.00. The plan then pays 80% for this particular procedure. The insurance company will then pay 80% of $100.00, or $80.00. Out of a $150.00 fee they will pay an estimated $80.00 leaving a remaining portion of $70.00 (to be paid by the patient). Of course, if the UCR is less than $150.00 or your plan pays only at 50% then the insurance benefits will also be significantly less.

MOST IMPORTANTLY, please keep us informed of any insurance changes such as policy name, insurance company address, or a change of employment.

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Pediatric Dentist, Dr. Caren Franz and Orthodontist, Dr. Michael Cari in Warrington, PA 18976 
Serving patients in the surrounding cities and areas of Bucks County, Central Bucks, Doylestown and Warrington, Pennsylvania.

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