Payment Portal

Payment / Office Policy

PAYMENT FOR SERVICES:

lf you do not have insurance, payment in full for treatment is due by the time of service. We accept cash, check and all major credit cards. No discounts available.

INSURANCE AND DEDUCTIBLES:

If you have insurance we will be ESTIMATING your portion owed based on today's eligibility report. This portion will be due at the time of service. Various plans cover periodontal procedures at different levels. As a result your amount due may vary from our estimate. You may have a deductible due which will reflect after services have been completed - this is shown on your EOB.

THIS IS ONLY AN ESTIMATE:

The estimate could change your out of pocket cost if you have ANY TREATMENT done at another office from now until date of service. As a courtesy we will bill your insurance company, but this estimate is not a guarantee of payment. Please be aware that you will be responsible for any residual balance due after insurance makes a payment.

****All dental procedures are paid out of your annual maximum****

INSURANCE BILLING:

Eastside Periodontics will bill all insurance; however, we are a preferred provider with: Assurant/Aetna, Cigna and Delta Dental. Please understand that your insurance is a contract between you and your insurance company, where you and your employer negotiate the details. We do our best to provide you with accurate information regarding the cost of treatment, but you are ultimately responsible for all services provided by us. We want you to get the most from your dental benefits, and this is best accomplished if you understand them. Please read your benefit or plan booklet or go online to your insurance company website to understand all clauses that pertain to your treatment.

UNPAID BALANCES

Any balance unpaid after 60 days is the patient responsibility regardless of dental benefits. The account becomes delinquent if not paid within 60 days after treatment is completed. Should the account balance exceed 60 days, an interest charge of 1% per month will be applied. (per RCW 19.52)

*CANCELLATION POLICY*

We require a minimum 3 business days (72 hours) notice for canceling or rescheduling an appointment for any reason other than emergency. Our business days are Monday through Thursday, excepting any holidays. The cancellation fee is 1/2 of the treatment scheduled. The treatment is specific to you so it is important to keep the scheduled dates and times to properly complete your treatment.