Financial / Insurance

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Financial and Insurance Policies of Antelope Creek Family Dentistry

Serving Lincoln, Lancaster County and Nebraska

Forms-FinancialDrs. Svoboda, Treat, Hedlund and the Antelope Creek Family Dentistry team are committed to providing the finest, most cost-effective dental care available. Our fees reflect our professional pledge to excellence. In an effort to control fees, we recognize that one of the best methods is to control costs. In order to achieve these goals, we need your assistance and understanding of our payment policy.

For patients who do not have dental insurance:

Payment in-full is expected for each appointment as service is rendered. You may choose the following payment options:

  1. Cash or check (5% courtesy discount applied)
  2. Credit card (VISA, Mastercard, Discover, or American Express)
  3. visa.jpg  master.jpg  american.jpg  discover.jpg 

  4. Interest-free financing options through CareCredit*
  5. Extended financing options through CareCredit
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        5. Dental Savings Plan available to those who qualify. Ask us for more information. 

*Completion of credit applications will be necessary for options 3 and 4.

For patients who have dental insurance:

It is necessary that you provide all information regarding your dental benefit plan, including insurance card or claim form, plan numbers, primary carrier, etc. Payment directly from the insurance company for the coverage percentage will be accepted. Our team is familiar with dental insurance and will assist you in obtaining the maximum benefits specified in your contract. In some cases, the annual maximum coverage is less than the proposed treatment plan. When available, an ESTIMATE of benefits and insurance reimbursement will be given. This is not a guarantee of what your insurance company will or will not pay for each individual claim. Any deductible, co-payments and non-covered fees are expected at the time services are rendered.

It is important that you realize that your dental benefit program is a contract between you, your employer and the insurance company. We are not a party to that contract. This office files your insurance as a courtesy to you. Not all dental services are a covered benefit in all contracts. Antelope Creek Family Dentistry will not be responsible for negotiation of any settlements on any disputed insurance claim regarding services rendered by this office.

Please be aware that any parent bringing a child to our office is legally responsible for payment of all services rendered.

If it is necessary to change your reserved appointment time, we request notification of at least 24-hours in advance of the appointment. Failure to keep an appointment or provide appropriate notification may result in a charge for the appointment time.

We will gladly discuss your proposed dental treatment and answer any question you might have as to the involvement of your dental benefit program in receiving this care. We appreciate the opportunity to serve you.