Health Net Dental PPO Pre-Authorizations
Sunnyvale Dentist Dr. Antonious welcomes Health Net Dental PPO insurance members to his practice. Sunnyvale Dental Care participates in the Health Net Dental PPO provider network. As a preferred provider, Dr. Antonious follows the Health Net Dental PPO fee schedule which lowers the treatment cost for patients with this coverage.
At your first visit you will have the opportunity to discuss any dental concerns or treatment goals that you might have. Sunnyvale Dentist Dr. Antonious will thoroughly examine your teeth and the supporting tissue and bone structures to determine if any further treatment is needed. If treatment is needed, the Sunnyvale Dental Care insurance coordinator will compile an estimate of what your out of pocket patient copay would be based on benefit information obtained from Health Net Dental PPO insurance.
Because of the complex nature of dental insurance, some patients feel more comfortable if they receive a pre-authorization or pretreatment estimate directly from their insurance company. This is not a requirement for most dental procedures, but it is an available option. The pre-authorization cannot be processed instantly and may take a few weeks. Sometimes insurance companies request x-rays, photos and other documentation prior to giving the estimate. We will submit this information for you.
What type of information will you receive on the pre-authorization form? There is usually a disclaimer from the insurance company stating that the estimate is not a guarantee of coverage. They will determine the final payment after the procedure is completed and the claim is submitted. It will also contain the date that the estimate expires, so be sure to schedule your appointment before that date.
The pre-authorization paperwork will let you know what your remaining available coverage amount is for the year. If you have an annual deductible, it will state the amount and if it has been paid. The estimated amount that will be paid on your behalf as well as your patient copay will be listed. Sometimes it also shows the amount that you will save by being treated in network.
Once we receive the estimate from your insurance company, we will contact you to answer any additional questions that you have and schedule your appointment.