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)  Total DPPO
  5. MetLife PDP PLUS and FEDVIP
  6. Horizon BlueCross/BlueShield NJ Traditional and Dental Option plan
  7. Guardian Dental Guard Preferred PPO 
  8. United Concordia PPO {non-military plans}
  9. Humana PPO and Medicare
  10. United Health Care PPO  (Lincoln financial)
  11. Mutual of Omaha Preferred PPO
  12. Dental Benefit Providers and United Healthcare PPO 
  13. Principal Dental PPO
  14. Careington Platinum PPO and Platinum POS plans
  15. DNOA (BCBS of TX, IL, NM, OK, and MT DPPO plans
  16. Ameritas Dental PPO
  17. Connection Dental
  18. Dentegra- through United Healhcare Medicare supplement

 

    

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

Every other Saturday-  8:00AM - 2:00PM

 

 

 

 

 

News

New Internet Presence

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

 

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