Medicare & Medicaid Notice
We are NOT Medicare providers. Any services provided through our office will not and can not be billed to any Medicare policy.
Notice to Medicaid patients: we only accept Medicaid for those 21 and younger who reside in Ada County.
MEDICARE OPT OUT FORM
Insurance (network insurances)
Please keep in mind that If your insurance is not one that is in our network, we will gladly try to bill them for you, but they will not pay as much as an In-network provider would.
Met Life | Cigna PPO | Delta Dental | Blue Cross | Regence Blue Shield |
WHITEWATER ORAL SURGERY GROUP FINANCIAL POLICY
Office and Financial Policy
Thank you for choosing Whitewater Oral Surgery Group PLLC as your provider. The payment for dental and medical services is the patient’s responsibility. Fees for your consultation, x-rays and any other diagnostic aids obtained during your first appointment are due at that time. If your surgery is not covered by insurance or if you desire to have your consultation and treatment performed on the same day(i.e. emergency patients), we will require payment in full. The fees quoted are an estimate only. If the procedure proves to be more complex than anticipated, the fees may be adjusted accordingly. The quoted fees will be honored for a period of 90 days. Our policy requires payment at the time the service is performed, unless prior arrangements have been made and agreed upon. We accept cash, checks, money orders, Visa, Mastercard, Discover and American Express credit and debit cards.