My Fairfax Dental
Family, Cosmetic and Implant Dentist
3930 Pender Drive. Suite 220. Fairfax. VA 22030. (571-969-3368 / 571-9-MYDENTIST)

Dental Insurance FAQ

Insurance FAQs

Question: Do Accept my insurance?
We accept all Dental PPO Insurance Plans including  (Delta dental, Aetna, Cigna etc.

We Accept all major PPO Dental Insurances

 

Dental health and treatment is important. Any patient can go to any dentist whether or not they have dental insurance. There is no insurance plan that will cover all dental expenses. Most insurance companies pay a percentage of the charge.

It is always the patient's responsibility to pay any deductible amount, co-insurance, or any other balance not paid by their insurance company.


For patients without insurance we offer our Smile Protection Plan which offers 20% discount on our dental fees and also includes free cleanings and exams.

Below you will find answers to insurance questions. If you still have questions please call our office and we will gladly assist you.


What insurance plans do we accept (click to read more)

We Accept all major PPO Dental Insurances

We accept all PPO insurances (Call us on 571-969-3368 to confirm for your plan, if we don't carry it, we will try to add it).

We do not accept HMO plans unfortunately.

We will also submit claims on your behalf, saving you the time and hassle.

Some of the dental PPO insurances we accept include:

  • Cigna
  • Guardian
  • Delta Dental
  • Aetna
  • United Concordia
  • GEHA
  • Anthem
  • Dominion
  • The Principal
  • DentaQuest
  • Medicaid
  • Smiles for Children
  • Many others . . .

Patient's Without Insurance (click to read more)

We offer an in-house dental membership that offers a discount on our office fees and provides for and exams also. Call our office if you have no insurance and we will help you get the treatment you need. Here are some of the benefits of the My Fairfax Dental Smile Protection Plan

  1. 2 regular Cleanings a year
  2. 2 Limited exams
  3. 1 set of digital x-ray bitewings
  4. 20% Discount off regular office fees.
  5. No deductibles or insurance to deal with.

Dental health and treatment is important. Any patient can go to any dentist whether or not they have dental insurance. There is no insurance plan that will cover all dental expenses.

We also provide dental care for patients without dental insurance and offer low or Zero interest financing through Care Credit.

We do our utmost to help patients without insurance and offer assistance and discount's for upfront payments.

 The My Fairfax Dental Plan is not an insurance plan, it is not a medicare prescription plan and the membership discount on treatment fees can only be for treatments received in our office.

Does My Fairfax Dental accept Medicaid? (click to read more)

We accept Medicaid and Smiles for Children.. 

 


Types of Dental Insurance (click to read more)

As with all things, some dental insurace plans are better than others. They can limit choice, payment and treatment options. Any patient can go to any dentist regardless of which insurance they have, the only question is whether the insurance will contribute more or less towards their treatment
Below are the 4 main types:

  • Dental PPO - Preferred Provider Organization plans - These balance between lower costs and dentist choice. PPO dentists contracted in the network agree to accept lower fees for patients with the PPO. Patients pay a certain percentage of the reduced rate (called coinsurance) and the plan pays the rest. With this plan patients can choose their own dentist but will pay more if the dentist is not in network. PPO dentists must collect the patient deductible as part of the agreement.
  • Fee-for-service / Indemnity / Traditional Insurance - These offer the widest choice to patients to choose their own dentist. The main difference is that a fee-for-service dentist are not reimbursed as much as a PPO dentist. In most cases the patient pays a bit more, but can choose practically any dentist.
  • Dental Health Maintenance Organization (DHMO) / Pre-paid plans - These plans usually have minimum fees, choice and dentistry. In these plans, contracted dentists agree to small monthly captiation payments for each patient regardless of whether any service was provided. So the less dentistry performed, the better it is for the dentist. Patients can see any dentist, but the benefits can only be used at contracted providers. If you visit a dentist outside of the network, you may be responsible for the entire bill.
  • Discount / Reduced Fee-For-Service plans - These are not insurance but instead offer access to Dental Procedures at a discounted rate from participating dentists for a monthly or annual charge. You must visit a participating dentist to receive the discount. Patients have little choice in dentistry and patient's are responsible for a greater portion of the treatment cost than with a PPO or DHMO plan

Pre-Estimation Policy (click to read more)

Insurance companies always try to control the amount of dentistry a patient can receive, and in many cases will require authorization for certain procedures in advance. At My Fairfax Dental, we will do everything possible to help maximize the insurance benefits to which you are entitled. We always try to provide you with the full fees in advance so that you know the exact cost of the treatment.


The patient is always responsible for all fees for their treatment and need to understand that in the event the dental insurance company refuses to contribute for treatment they are still responsible for all fees.

Pre-Estimations are often time consuming and unnecessary, so in the event the approval is received.

It is very important for the patient to complete the treatment quickly as the approvals will often expire after a short period.


Can Patient's Claim Insurance? (click to read more)

A patient can pay for their dental treatment and then claim it back from the insurance company.

The truth is the dental insurance is really an agreement between the Patient and the Insurance company only.

When we file a claim, we do so only as a courtesy to the patient knowing that if an issues arise, only the patient can resolve it with their own insurance company

My Fairfax Dental, can assist as much as needed to help the patient obtain their maximum insurance benefit.