This form is necessary for the first visit to our office. It will aid us in investigating insurance benefits, submitting claims on your behalf, and creating a no-interest payment option.Child
This form is necessary for your child’s first visit to our office.Flex & Insurance Info
This form has helpful information on how orthodontic insurance benefits work as well as flexible spending accounts.
Orthodontic treatment can be for everyone. It is an excellent, affordable investment for children, adolescents and adults alike. Our office is dedicated to making orthodontics available to all those interested and in need of treatment. Although fees vary according to the complexity of each case, a personalized payment plan can be arranged and we will work together to find the one that is right for you.
We offer several payment plans to fit your budget and are happy to discuss them with you during your first visit or anytime during the pretreatment observation period.
Please feel free to request a moment with our financial coordinator to discuss the many options that we offer.
Our office will contact your insurance company to obtain a copy of your eligibility and benefits. Orthodontic insurance pays over the course of treatment and benefit amounts and payment schedules are determined by the terms and conditions of your policy and not by our office. If there is a question regarding the insurance contribution towards treatment, we would be happy to submit a pre-determination on your behalf.
Whenever possible we will take assignment of benefits in our office; however, in those cases when benefits will be paid to you directly our office will submit all claims on your behalf.
Since orthodontic benefits are paid out over the course of treatment, which may encompass more than one benefit year, the insurance would need to remain in place and unchanged in order to receive the amount available at the start of treatment. Some of the factors which could affect benefits include:
If you have a change in your insurance during treatment, please notify us as soon as possible so we can submit a new claim form if necessary.
These plans allow families to set aside pre-tax dollars to pay for out-of-pocket medical and dental expenses and can be very beneficial. It is important to understand that there are specific rules governing the reimbursement of the orthodontic services, because treatment is rendered over time and may encompass more than one benefit year. We recommend that you check with your plan’s administrator to know when funds will be available, how and when services will be reimbursed, and what documentation will be required. If you need help understanding your plan’s guidelines, please call our financial coordinators and they will be happy to assist you.
Appointments scheduled for pre-treatment observation are excellent opportunities to plan ahead for the coming year. If you are eligible for a Flexible Spending account, please make sure that you make any appointment well in advance of the enrollment deadline. We will do our best to estimate anticipated expenses for the coming year.
T|D|R proudly providing braces, Invisalign, and orthodontics to Rochester Hills, Birmingham, Novi, Shelby, Lake Orion, Troy, Bloomfield, Royal Oak, Farmington Hills, Northville, Livonia, Walled Lake, and surrounding communities with a long list of straight teeth and happy smiles! An orthodontist receives two to three years of education beyond dental school and are the only ones allowed to call themselves “orthodontists”. Only orthodontists may be members of the American Board of Orthodontists.