Assurant Dental PPO Pre-Authorization
Sunnyvale Dentist Dr. Antonious is Assurant Dental PPO (Preferred Provider Organization) insurance in network provider. This means that he has agreed to accept the lower cost Assurant Dental PPO fees. During your initial examination, you will be able to discuss your dental health concerns, and treatment goals. Dr. Antonious will use this information as well as diagnostic equipment and tests to develop one or more treatment plan options to present to you.
The insurance coordinator at Sunnyvale Dental Care is happy to provide you with a treatment cost estimate based on the Assurant Dental PPO fee schedule before you schedule your appointment. Some patients requiring major dental care prefer to receive a pre-determination of benefits or pre-authorization directly from an Assurant Dental PPO representative. Although this may delay treatment, Sunnyvale Dentist Dr. Antonious will have his team submit a pre-authorization on your behalf to provide you added peace of mind.
Assurant Dental PPO does not require a pre-determination of benefits for most dental services, however many dental insurance companies recommend one for major treatment. This may take a few weeks to process. A copy of the completed pre-authorization is available to you directly from Assurant Dental PPO insurance through the mail or electronically. A copy will also be sent to Sunnyvale Dental Care.
The pre-authorization contains a wealth of information. On it you will see your remaining annual benefit allowance, your annual deductible and whether it has been met, and if the treatment is a covered procedure. If it is a covered procedure you will see your estimated out of pocket percentage and cost, and the amount that will be paid in your behalf by Assurant.
After the pre-authorization is processed, you will want to schedule your dental appointment as soon as possible. The pre-authorization is valid for a limited time. All approved treatment must be completed while your Assurant Dental PPO insurance policy is active. It is also important to note that the pre-authorization will state that it is not a guarantee of coverage. Final payment is determined after the treatment has been completed and the actual claim and necessary documentation have been submitted.