There are so many questions surrounding insurance benefits for orthodontic treatment that we would like to give you answers to some of the most frequently asked questions. If you have a question that is not answered here, please feel free to call our office at 720-685-0153 and we will be happy to answer any questions you may have.
One question that we would like to address right away is: “ Is Dr. Sabott on my insurance plan?” You will not see Dr. Sabott’s name listed with any insurance companies “in network” orthodontists. While Dr. Sabott has chosen to not be contracted with any dental insurance plans, we have found that orthodontic benefits are generally the same regardless of whether or not the orthodontist is “in network” or “out of network”. We would be happy to check your specific insurance plan to see what coverage you have for orthodontic treatment.
Does Dr. Sabott take my insurance?
Our office accepts all insurance that has an orthodontic benefit and allows you to go to any orthodontic office. We would be happy to check your insurance plan either at your new patient exam or before your consultation. We have found that orthodontic benefits are generally the same regardless of whether or not the orthodontist is “in network” or “out of network”.
What will my orthodontic insurance pay?
Each insurance plan is set up with various amounts of coverage. It is best if we check with you insurance carrier specifically to verify your exact plan. Generally, there will be 50% coverage with a clause designating a “lifetime” maximum benefit with the plan.
We have already started braces, now we have a new insurance plan, what do we need to do?
We will be happy to submit your claim to your new insurance. Some plans may have an initial waiting period or a clause that they will not cover active orthodontic care. We would be happy to check your insurance plan specifically for this situation.
Why will my insurance not pay the full lifetime benefit?
Your insurance may only pay a percentage of your lifetime benefit for your initial orthodontic care. This usually only applies to a Phase One treatment plan or limited treatment.
If I pay you in full, how will I get reimbursed from my insurance plan?
90% of the time, we have seen the insurance pay out on a monthly or quarterly or 6 month basis, IF you happen to lose or change your insurance 3 months into treatment, they will only pay those months that you are active on their insurance.
Does Dr. Sabott take Medicare or CHP?
We do not accept Medicare or CHP; however, if you provide us with a copy of your Medicaid or CHP card, we would be happy to put together a program discount and payment plan to help you afford orthodontic treatment.