Insurance

Our charges are based on the type of service received during your visit(s). For all uninsured patients, or for non-covered services, we request payment at the time of service. We will accept most major credit and debit cards. If you have any questions regarding our policies or fees, please feel free to speak with our patient service representative at (804) 628-6637.

Coverage by your insurance company

Procedures performed by oral and maxillofacial surgeons at the VCU Department of Oral and Maxillofacial Surgery can be covered either by your medical or dental plan, depending on the nature of the procedure. When you call our office for an initial appointment, please verify that we participate with your particular insurance carrier. Your insurance policy may cover all or part of your bill. There are many different health plans with varying deductibles and coverages. We will prepare and submit our claims to your insurance company. Please contact your insurance carrier to inquire about any unpaid claims; ultimately it is your responsibility to pay for services rendered.

The department participates with various dental and medical HMO and PPO networks, as well as with most indemnity plans, including Anthem Blue Cross/Blue Shield, Healthkeepers HMO, Medicaid and Medicare.

In addition, we participate in dental insurance including all Blue Cross dental products, Delta Dental (not Delta Care), Cigna Dental and Met Life Dental.

View a complete listing of the medical and dental plans

Also, for your convenience, the department offers several payment plan options. These include, but are not limited to, Visa, Mastercard, Discover Card and Wells Fargo and Care Credit. We accept Medicaid and Worker’s Compensation, with limitations, after authorization is obtained through the employer and carrier.

Health maintenance organizations (HMOs)

If you belong to a health maintenance organization, you may need to receive prior authorization from them before seeing one of our doctors. In some cases, you must obtain a referral form or number, and/or contact your primary care physician (PCP) to authorize your visit. All referral forms must be presented to our staff before seeing one of our doctors. If you do not have the required authorization and/or referral, the insurance company will not pay for the services and you may be held responsible for the entire fee.

Other managed care programs

Your health insurance plan may have a separate managed care company handling your dental health benefits. We request that you provide this information to us prior to your first visit. We will be happy to assist you with any questions you may have about managed care.

Co-payments

Most insurance coverage requires a co-payment from you; please be prepared to pay these deductibles or co-payments at the time of service. Our staff will assist you in determining your co-payment prior to your initial visit, including contacting your insurance company, if necessary. Please understand your out of pocket expense is only an estimate.

If you have an attorney assisting you in obtaining compensation for injuries or damages, we will, with your permission, provide him or her with information about your care. The ultimate responsibility for payment of fees, however, is yours.