Insurance Form

The staff at Nosehill Dental is pleased that you have insurance benefits to help with the cost of your dental care. We wouldlike to help you obtain the maximum use of these benefits. With this in mind, please read the information on our insurance claims process so that we can work together to ensure this benefit.

DO YOU ACCEPT MY INSURANCE?/HOW MUCH WILL THEY PAY?

We currently accept all private care insurance plans (plans that do not require you to select a dentist from a list or require our office to accept a reduced fee for services). This means that we work with literally thousands of companies. Although we can maintain computerized histories of payment by a given company, they do change; therefore it is impossible to give you a guaranteed quote at the time of service. We estimate your portion based on the most up-to-date information we have, but it is ONLY AN ESTIMATE. If you would like to know your exact insurance benefit, we will be happy to file a “pretreatment estimation” with your insurance company prior to treatment. This does delay treatment but will give you the exact out of pocket figures you may require.

I THOUGHT I PAID MY PORTION BUT I GOT A BILL, WHY?

We base the patient portion of your bill on our most current data but there are many factors that can affect this estimate. There may be a deductible (individual or family) or you may have received treatment in another office prior to joining the Nosehill Dental Family which is not calculated into our database. Sometimes you may need to see a specialist for care, which also uses your annual benefit. Insurance companies do not (and cannot in most cases) notify us of changes to your benefits, they only notify you. If these situations apply to you, please let us know when we estimate your treatment plan so we may adjust accordingly.

INSURANCE DIDN’T PAY, NOW WHAT?

We bill your insurance as a courtesy. If insurance does not pay within 90 days, Nosehill Dental reserves the right to request payment in full for services from you and let you collect the insurance funds that are due to you. This is rare but it is important that you recognize that the insurance you have is a legal contract between YOU and YOUR insurance company. Our office is not, and cannot be a part of the legal contract. Ultimately, you are responsible for all charges incurred in our office

FINANCIAL OPTIONS

Nosehill Dental does request payment in full for your portion at the time of service. We accept Mastercard, Visa, and Interac. If you are in need of an extended finance option, we would be happy to discuss that with you.

We welcome you to our office and look forward to helping you get that healthy beautiful smile you’ve always wanted. If there is anything we can do to make your visits here more pleasant, please don’t hesitate to ask one of our staff members

I have read, understand, and accept the terms of the above outlined policies for insurance handling and financial commitments that I may incur as a result of treatment at Nosehill Dental.

Date(Required)
EVERYONE deserves a healthy smile

ALL INSURANCE ACCEPTED
PAYMENT INSTALMENTS ACCEPTED FOR MAJOR TREATMENTS


DENTIST Calgary NW
SERVING THE FOLLOWING COMMUNITIES:
Calgary NW, Nosehill, Ranchlands, Hawkwood, Arbour Lake, Scenic Acres, Silver Springs, Dalhousie.

Nosehill Dental Centre

Dentist Calgary NW

1829 Ranchlands Blvd NW, #101, Calgary, AB T3G 2A7

Phone: (403) 241-1900
Fax: (403) 241-8839
Email: info@nosehilldental.com

Hours
Monday: 8:00am - 7:00pm
Tuesday: 7:00am - 5:00pm
Wednesday: 7:00am - 5:00pm
Thursday: 7:00am - 7:00pm
Friday: 8:00am - 4:00pm
Saturday: 9:00am - 4:00pm
Sunday / Statutory Holidays: Closed

© 2023 Nosehill Dental
The Dentists at Nosehill Dental are General Dentists (unless specified). As general dentists, they provide cosmetic dental procedures such as porcelain veneers, dental crowns, dental braces, and teeth whitening as part of their General Dentistry license. Cosmetic Dentistry & Family Dentistry are not specialties recognized by the Alberta Dental Association & College (ADA&C). As NW Calgary Family Dentists, they provide General Dental procedures for all ages within the family.
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