Robert V. Hofstetter, DDS
400 GANTTOWN ROAD? SEWELL, NJ 08322 ? 856-582-7272
OUR FINANCIAL POLICY
Thank you for choosing us as your dental care provider. We are committed to your dental treatment being successful. We agree in writing, with every patient to sign our financial policy, as we have found with our past experience that this policy makes our mutual experience easier and without confusion. This policy is to ensure that all of our patients receive a highest level of quality dental care in a friendly and healthy environment while understanding their financial responsibilities.
Patients with no insurance are expected to pay in cash, check, credit card or Care Credit the day the service is rendered, unless specific arrangements are made in advance.
We must emphasize that, as dental care providers, our relationship is with you, not your insurance company. While the filing of insurance claims is a courtesy that we extend to our patients, all charges are your responsibility from the date the services are rendered. You are responsible at the time of service, for payment to us, any applicable deductible and or your co-payment. We will estimate your coverage as closely as possible, but until we actually receive the payment from the insurance company, it is just an estimate.
We encourage you to become familiar with your policy exclusions, deductibles, and required co-payments. Realize that dental insurance policies restrict payment for some services. They use restricted fee schedules (called UCR) and exclude some procedures based on prior conditions or length of time on the plan. All restrictions are based on the premium paid for the insurance, not our fees or recommended treatment.
Cash or Check
Major Credit Cards
* Applying for Care Credit only takes a few minutes and there is no fee to apply.*
*In order to best serve you, appointments scheduled are a reserved time for you. We require 24 hours advance notice for any cancellations. Your account will be charged $45.00 for any broken appointments without proper notification.
*Outstanding insurance claims not paid within 60 days of treatment will become “self-pay” and a statement will be issued to you for the unpaid portion.
The above policies apply equally to parents and guardians of minors being treated, and minors cannot be treated without a parent or guardian authorizing treatment and agreeing to financial responsibility. Thank you for reading and understanding our financial policy. If you have any questions or concerns; please feel free to ask us at any time. We wish to be of assistance in any way we can. We are here to help you.