INSURED PATIENTS:
We advise that our patients inquire with their insurance company regarding the dental benefit and coverage, co-payment and deductible information outlined in their policies. Patients are required to pay all deductibles and co-payment percentages, as specified in their policy, at the time services are rendered. Literally, there are thousands of insurance companies, and their payment policies can change, therefore it is impossible to give you a guaranteed quote at the time of service. We accept most dental insurances and will do our best to verify and estimate insurance coverage and your payment portion, however it is only an estimate. Therefore, any balance left unpaid by the insurance company is the patient's responsibility.
We will file and bill your insurance as a courtesy. We cannot be responsible for actual payments made by your insurance carrier. After payments are received, you may owe more money, or have a credit which would be reimbursed to you. After 60 days, we reserve the right to request payment in full for our services from you, and let you collect the insurance fund that is due to you. This is rare, but it is important that you recognize that the insurance you have is a legal contract between you/your employer and your insurance company. Our office is not, and cannot be a part of that legal contract. Ultimately, you are responsible for all charges incurred in our office.
Also, it is your responsibility to investigate whether or not your insurance is on our network list held by your insurance company. If not, you will be financially responsible for the service fee rendered. Our office charges what is usual and customary to our area. You are responsible for payments, regardless of any insurance company's arbitrary determination of usual and customary rates. We also will assume a $50 deductible unless otherwise indicated.
On some occasions, an insurance coverage/benefit may not be the best treatment option. After the doctor had explained all your possible treatment alternatives, nature of procedures, advantages, required appointment time and cost, you may choose a treatment which may not be covered by your insurance carrier.
Note: Please inform the office, if there are any changes in your insurance coverage.
Dr. Madani, Framingham's Family Dentist
Dental treatment is an excellent investment in an individual's medical and psychological well being. Financial considerations should not be an obstacle to obtaining this important health service. Being sensitive to the fact that different people have different needs in fulfilling their financial obligations, we are providing the following payment options.
NON-INSURED PATIENTS:
Payment is expected when services are performed, unless prior plans are made. You can benefit from a one-time new patient special offer of reduced fees, due at the first initial examination date. Please note, if you miss the cleaning appointment of this special offer, it is forfeited, and you will be charged for the next cleaning appointment.
Payment Options: (for non-insured only and not to be combined with the special discounted offers!) Payment in full: A bookkeeping courtesy of 5% is given for direct payment in full by cash, check or credit card at start of treatment, resulting in a one-time payment. (Balances over $500 only) Office payment plan: An initial payment of one half (1/2) is due at the start of treatment, with the reaming balance being due upon completion.
Financing through creditors: Many health-care creditors are offering flexible payment plans for individuals with good credit standing status. Their services are fast, confidential and can be done over the phone or the internet. Upon your approval, they usually require no initial payment, and can offer long-term low monthly payments with minimal or no finance charge. Also, pre-payments can be made anytime without penalty. Please note, a processing fee may apply to this financing. Please, inquire about our special promotional offers!
Service Charge: If I do not pay the new balance within 30 days of the billing date, a service charge will be added to the account for the current billing period. The service charge will be a periodic rate of 3% per month (or a minimum charge of $5 for a balance under $100) which is an annual percentage rate of 3% per month (or a minimum charge of $5 for a balance under $100) which is an annual percentage rate of 3% applied to the last month's balance. In the case of default, I promise to pay any legal interest on the balance due, together with any collection costs and reasonable attorney fees incurred to effect collection of this account of future outstanding accounts. Full payment is due and expected at the time of service, unless prior arrangements with the office have been already made. We accept cash, check and major credit cards.
Dr. Madani, Framingham's Family Dentist
As a courtesy to our patients, we make every effort to confirm all appointments in advance. However, it should be noted that it is the patient's responsibility to keep all appointments. A specific amount of time is reserved especially for you and we strongly encourage all patients to keep their appointment. We request at least a 24-hour advanced notice prior to your visit, if you must change or cancel your appointment. We will assess a $98/hour for otherwise broken appointments or no-shows. This fee will increase in accordance with the amount of time you have schedules and will have to be paid before another appointment is made.
Please Note: Due to the nature of our practice, emergencies and acute walk-in patients may cause the dentist to alter their schedule. We will do our best to see each patient as close to their appointment time as possible. We appreciate your cooperation and understanding regarding these unforeseen circumstances. You receive the same careful attention. However, if time becomes a problem, please let the staff know so we can accommodate your schedule as best as possible.
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