Insurance Information for Orthodontic Treatment

Dr. Kolodziej is currently a participant in the following dental insurance PPO (preferred provider organization) plans:

• Delta Dental
• DenteMax
• MetLife (for Ford employees)
• United Concordia
• Cigna Dental PPO

Please keep in mind that although Dr. Kolodziej might not be classified as a preferred orthodontic provider in your particular plan, it is likely that an insurance benefit is still available. In many cases, there is no increase in the “out-of-pocket” cost for a patient who seeks treatment from an orthodontist who is not a “preferred” provider. For example, some insurance companies will pay for 60% of the orthodontic fee up to a maximum allowance of $1,000 if the orthodontist is in their “preferred” network. If the provider is not in the “preferred” network the insurance company might pay 40% of the treatment fee up to a maximum of $1,000. Therefore, in this example, if the treatment fee was $4,000, the patient would still receive the maximum allowance ($1,000) from the insurance company, regardless of whether or not the orthodontist was a “preferred” provider. In other cases, the insurance company may simply reduce the lifetime maximum benefit by a few hundred dollars. Every individual plan is unique.

Please keep in mind that there is no charge for an initial examination at our office*, and there is no obligation to pursue any treatment. At the time of the initial exam, we are more than happy to advise patients

 

about insurance benefits and assist them in researching specific issues.

If you would like to discuss your specific insurance plan prior to an initial examination, please contact our administrative coordinator or new-patient coordinator.


* unless the exam is for TMJ/jaw-joint pain or for a patient who is in active treatment (braces) elsewhere but is seeking a second opinion

This site was developed in conjunction with the
American Association of Orthodontists.

© 2003 American Association of Orthodontists