Somerset Family Dentistry 11 Clyde Road Suites 101-102 Somerset, NJ,08873 (732)545-0001
     Somerset Family           Dentistry      11 Clyde Road      Suites 101-102Somerset, NJ,08873    (732)545-0001

Accepting Insurance vs. Participating Provider

     At Somerset Family Dentistry, LLC we know that many people have dental insurance but do not utilize it to their benefit.  They do not understand the difference between a dental insurance plan and a medical insurance plan.  By not knowing all the facts about their dental insurance, many patients are paying more out of their own pockets then they have to.

     Sure most dental insurances have an individual maximum (the maximum amount of money their company will pay in a calender year for benefit), deductible (amount of money a patient must pay prior to the insurance company paying each calender year), and co-pays (percentage a patient must pay toward a procedure), but there is one important part of insurance that many patients do not understand, which increases the amount of money they must pay for dental work.  That is the difference between a dentist who ACCEPTS your insurance and a PARTICIPATING PROVIDER.

     If you go to a dentist who accepts your insurance, your insurance company will still pay the same amount to the dentist, however the dentist is allowed to charge their normal fee to the patient.  However, if you go to a participating provider, you can only be charged the negotiated insurance fee, which is usually siginificantly less.  This means that if two patients with the same dental insurance (one went to a dentist who accepted their insurance, the other to a participating dentist), the one who went to a participating dentist could potentially save hundreds of dollars for the same procedure.

     In these economic times, we understand that people want quality dental care.  They also want smaller out of pocket fees for that care.  It is with these facts in mind that Somerset Family Dentistry is proud to PARTICIPATE in the following dental plans:

  1. Delta Dental NJ Premier Plan and Advantage Plan
  2. Delta Dental USA and Delta Dental of all other states
  3. Aetna US healthcare PPO
  4. Cigna (Connecticut General Life) PPO
  5. MetLife PDP
  6. GE Financial PPO (AKA Genworth or Sunlife)
  7. Horizon BlueCross/BlueShield NJ Traditional and Dental Option plan
  8. Guardian Dental Guard Preferred PPO (First Health)
  9. United Concordia PPO {AKA FEDVIP, Advantage, and ADDP}
  10. Humana PPO
  11. Mutual of Omaha Preferred PPO
  12. Dental Benefit Providers and United Healthcare PPO {AKA as AIG, US Life PPO, Wausau PPO, Unimerica Dental PPO, Morgan White Group Dental PPO, Confident, Health Allies Discount program, Advantage Health Solutions Dental, M-dental, United Health Allies}
  13. Principal Insurance PPO
  14. Dentemax/Benefit Planners PPO
  15. Fortis/DHA (Assurant) PPO
  16. Ameritas PPO
  17. Empire Healthcare Dental PPO
  18. Careington PPO, POS, Platinum and Platinum POS plans
  19. Dental Wellness Partners
  20. DNOA select
  21. Premier Access PPO
  22. Wellpoint/Empire PPO 100, 200 and 300 plans

 

     For our patients further convenience Dr. Mark Sandler

participates in the following dental plans:

  1. Delta Dental of NJ Preferred
  2. Northeast-Southeast Dental Plan
  3. Qualident plan
  4. Unicare 100
  5. Health Allies Discount Program

OFFICE INFORMATION

Phone

732 545-0001

FAX

732 545-0004

 

E-mail

somfamdent@aol.com  (E-mail inquiries are for existing patients only)

 

Address

Somerset Family Dentistry, LLC

11 Clyde Rd

Suites 101-102

Somerset, NJ 08873

 

Feel free to use our contact form.

 

Office hours

Monday - 8:30AM - 8:30PM

Tuesday- 8:30AM - 4:30PM

Thursday-8:30AM - 8:30PM

Friday  -   8:30AM - 4:30PM

Saturday-8:00AM - 2:00PM

 

 

 

 

 

News

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Keep informed of everything going on at Somerset Family Dentistry, LLC via our site.

 

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