Insurance Information

Insurance Information

At Alan P. Chun, DDS, MD, Inc. we make every effort to provide you with the finest care and most convenient financial options. To accomplish this, we work hand-in-hand with you to maximize your insurance reimbursement for covered procedures. If you have any problems or questions, please ask our staff. They can be reached by phone at 925-833-8516.

**Important** Remember to lease bring your insurance information with you to the consultation so that we can expedite reimbursement. You can view our financial policy here.

Additional Insurance Questions

The time a dental insurance carrier takes to process an entire insurance claim will vary.

There are at least 38 states that have enacted laws requiring dental insurance carriers to pay claims within a specific period of time (usually ranging between 15 – 60 days) so a specific answer will be difficult to give without knowing your specific situation. You can find information for your specific state here.

If you’d like to file a complaint about a delayed payment, your best bet would be to either contact your insurance administrator or the insurance commissioner in your state of residence. The insurance commissioner will want to know if late payments are being made by your insurance company according to the period of time allotted by your specific state.

The answer depends completely on what type of insurance you have and what types of insurance providers are accepted by your specific endodontist. We answer our most frequently asked insurance questions here.

Some endodontists do not sign end up singing contracts with various dental insurance carriers but will still accept insurance company payments when billed directly. This means that these endodontists are not obligated by contract to accept your insurance carrier’s payment as full compensation because they are not legally participating providers. When this happens, you may be responsible for a portion over and above the payment percentage provided by your insurance company.

Why was my benefit different than what I expected?

Some plans tell patients that they will receive up to a certain percentage of a hypothetical procedure covered (such as up to 70% or up to 90%) but do not get specific about annual maximums, plan fee allowances, or limitations (such as only 2 exams per year allowed). A more realistic expectation would be expecting your insurance to cover anywhere from 30% to 70% of the total cost of services, because the amount varies depending on how much your employer paid for it.

Some additional reasons your benefit may vary are:

  • Your insurance will only pay a percentage amount of the fee charged
  • You have used up some or all of the benefits your insurance plan has provided for you
  • The treatment you received was not covered by your plan
  • You have yet to meet your deductible amount
  • You have not yet reached the end of your plan’s waiting period and are currently unable to be covered

If you have a pressing question that you feel wasn’t addressed here, feel free to contact us or reach out to us at:

(925) 833-8516

9301 Fircrest Ln #2,

San Ramon, CA 94583