In order to provide you with the highest quality dental care available, we provide our patients with estimates of fees. Patient, parent and/or guardian are responsible for the patient portion on the date of service.

Financial options that we provide at this time:

• Cash or check
• Major credit card (Discover, Master Card, Visa)
• Extended payment plan (Based on credit approval)

Regarding Insurance:

Dr. Kovacevic and staff understand how important insurance benefits are to our patients. We ask that you carefully review your policy and/or contact your insurance carrier so you are aware of benefits, frequencies, limitations, and/or restrictions. Please be informed that dental insurance is a contract between you and your insurance company. Our role is to assist you with filing your claims. Your dentist is providing the highest quality of care for you and your family regardless of insurance frequencies, limitations, and/or restrictions.

Please be aware that your insurance may have a yearly allowance (maximum) and anything over that amount will be your responsiblity. If you have two insurance policies, please be aware of both policies. Not all secondary policies will cover remaining portions. Your insurance mails a copy of an Explanation of Benefits (EOB) to you. Please pay attention to these statements. Check your policy to see if you have a dental deductible, and if your insurance pays at a percentage or by their allowable fee schedule. Please provide us with a copy of your insurance card and benefit booklet (if available) at your first deental visit or at the time of dental coverage charges. It is your responsibility to provide us with any future changes in your insurance. If any dental services have been provided by any other provider within the existing benefit year, please advise us.

Regarding United Concordia and Delta Dental Insurance:

Your insurance plans are reduce reimbursement plans. To provide you with the best service possible we request the following:

• We are committed to keeping on schedule and seeing you at your appointed time, and we request the same courtesy from you. If you need to change an appointment we require 48 hours advance notice.
• Estimated co-pays due at the time of service.
• We request that you keep a credit card on file in your account for services denied or not paid to full benefit.