Insurance & Financing
At the office of Dr. Sid Solomon, we want the financial side of your care to be clear and straightforward. General dentistry is typically billed through dental insurance, while TMJ treatment may fall under medical insurance.
Dental Insurance
For general dentistry, we are in network with most PPO dental insurance plans and select HMO dental plans.
With PPO insurance, our team can help verify benefits and review your estimated patient portion before treatment whenever possible and estimated co-pays are due when services are rendered.
HMO dental insurance is generally a reduced-fee plan. To use HMO benefits at our office, you must be assigned to the office of Dr. Sid Solomon through your insurance company.
Many HMO plans cover basic dentistry at little or no cost. Most other services will have a reduced copayment, which is due at the time of treatment.
TMJ Treatment & Medical Insurance
TMJ disorders involve the temporomandibular joints, jaw muscles, nerves, and surrounding structures, not simply the teeth and gums. For this reason, TMJ/TMD treatment may fall under medical insurance rather than dental insurance.
The office of Dr. Sid Solomon is not in network with any medical insurance company.
TMJ treatment is therefore provided on a self-pay, out-of-network basis.
If your PPO medical insurance includes out-of-network TMJ benefits, you may be eligible for reimbursement directly from your insurance company.
Documentation We Can Provide
As a courtesy, our office can provide appropriate documentation, which may include:
Coverage and reimbursement are determined entirely by your insurance company. We cannot guarantee payment and are not responsible for claims that are denied, reduced, or excluded under your policy.
We recommend contacting your medical insurance carrier before treatment to ask specifically about out-of-network benefits for TMJ/TMD treatment.
Payment & Financing
We accept all major credit cards, certain online payment methods, and offer 0% financing options to all patients who wish to apply and pay for treatment over a period of time. Financing is available through:
Cherry offers monthly payment plans for eligible treatment and up to 18 months at no interest.
CareCredit offers healthcare financing that allows approved patients to pay for treatment over time and up to 24 months without interest. CareCredit is considered deferred financing.
Sunbit offers flexible monthly payment options for eligible dental treatment and sometimes offers the highest acceptance rate.
These are independent third-party financing companies. Financing is available for all patients to apply for, but approval, interest rates, payment terms, down payments, and available credit are determined by each financing provider. We do not offer long term in house payment options as we do not have the staff necessary for such a task.
We Can Help
Our team is happy to help you understand your payment options and assist you with applying for Cherry, CareCredit, or Sunbit.
Please Note
Insurance coverage and reimbursement are determined by the patient’s insurance carrier and individual policy. Patients remain financially responsible for services provided regardless of insurance reimbursement.
Questions?
If you have questions about dental insurance, TMJ medical insurance reimbursement, or financing, please contact our office. We are happy to help you understand your options before beginning treatment.
