New Day Smile Dental Group accept many dental insurance plans and will file claims on your behalf, saving you the time and hassle.
Our knowledgeable benefit coordinators can help you maximize your dental benefits and minimize your out-of-pocket cost. We will tell you upfront what your insurance plan will pay for and offer options for taking care of any remaining balance.
We accept and honor most dental insurance plans. Some of the dental insurance carriers we work with include Aetna, Ameritas, Cigna, Delta, Guardian, MetLife, United Health Care, UCCI.
We also accept Medi-Care Supplement Plans with dental benefit providers like Health Net and United Healthcare.
Please call our office for more details at (619) 464-3944
What's a covered benefit?
Treatment that is recommended by a dentist, is listed on the fee schedule, and accepted under the terms of your group's plan.
What's optional treatment
Treatment that is either not listed on your fee schedule or more than the minimum to restore the tooth back to its original function.
What's the difference between indemnity, PPO, HMO, & discount insurance plans?
Indemnity or Traditional Insurance reimburses members or dentists at the dentist's UCR (Usual, Customary & Reasonable fee). This allows the subscriber to go to any dental office without being limited to a panel.
(Preferred Provider Organization) is the most common form of insurance. They provide members with a list of participating dentists to choose from. The dentists on this list have agreed to a lower fee schedule, which provides you with greater cost savings. They also assist with insurance billing. Most companies pay 50% on major treatment (crowns, bridges, partials), 80% for basic care (fillings), and up to 100% for preventative care (exams, x-rays, basic cleanings). Annual maximums generally range from $1,000 to $2,000.
Also known as capitated or prepaid insurance, was designed to provide members with basic care at the lowest rate. Participating providers receive a monthly capitation check for patients assigned to the office. This amount is only a few dollars and is intended to offset the administrative costs. HMOs generally don't pay for services rendered. Fees are usually greatly reduced, but the patient is solely responsible for paying the doctor.
Do you accept Medi-Care/Medi-Cal?
We do not accept regular Medi-Care/Medi-Cal plans but we do accept Medi-Care/Medi-Cal supplement plans with Health Net, Dental Benefit Providers, and United Healthcare. Give us a call with any questions regarding your plan and network of providers.