Our Hamilton Dental Office Policies

The most common misconceptions about dental plans are that:

1. All plans run on a calendar year
2. All plans from the same company have the exact same coverage
3. All plans allow the cheque to go directly to the dentist (known as Assignment - see below)
4. All plans allow for the dentist to file electronically (known as EDI - see below)
5. All plans will allow the dentists office to call them on your behalf
6. The family member on the plan must be present during all appointments

ASSIGNMENT, EDI and the CO-PAY Policies

Assignment: is a benefit of your plan to assign or send the amount that they will cover directly to the dental office. Here at Dr. Barzilay's office, we DO accept assignment of benefits. Most dental offices DO NOT accept Assignment in their office. This means that you (the client) have to pay the full amount owing the dental office at the time of your appointment. The dental office would then send the information to your insurance company and the insurance company would then send a cheque for the covered payable amount directly to you. Please remember that although this office accepts Assignment, your plan may not. This CANNOT be changed or overriden by us. Your plan is structured by your employer and the insurance company and thus is not subject to change by us.

EDI: is Electronic Data Interchange and means that we can send your claim to your insurance company electronically. At Dr. Barzilay's office we can send claims through EDI, but please remember as with Assignment, if your plan does not allow for EDI then we cannot override this with your insurance company.

Co-Pay: is the portion of money owing by you that your dental benefits plan did not pay. This must be paid for at the time of your appointment. If your plan does not print out the amount owing on the EDI receipt then the full amount is payable by you at the time of the appointment.