Billing and Insurance

At Dental Health Associates, we understand the importance of receiving the most benefit from your medical and dental health insurance.

To make an online payment for General and Periodontal services use our bill pay form.

General Dentistry Billing Questions

Dental and medical insurance can be confusing. The knowledgeable staff at Dental Health Associates of Madison has experience with your questions and can help you get the most from your insurance. Each clinic has a Financial Coordinator available for your convenience. If your insurance does not cover the procedure you want or need, we can develop a payment plan that works for your family and budget.

For General Dentistry, Endodontic or Periodontal billing and insurance questions, contact our Billing and Insurance Services at:

(608) 661-6410 billing@dhamadison.com

Orthodontics Billing Questions

If you have questions regarding Orthodontics billing or insurance, please call our Orthodontic business offices at:

East Clinic: (608) 661-6439

South Clinic: (608) 661-6421

West Clinic: (608) 833-4235

Insurance and Billing FAQs

With what insurance carriers do you participate?

DHA accepts numerous insurance plans from a variety of carriers, including the list below. If you do not see your carrier listed, please call your insurance carrier to discuss their provider network.

We accept plans including:

Ameritas

Assurant

ADP

Delta Dental - Premier Providers

GHC

Guardian

MetLife

Momentum Insurance Plans

United Concordia -- Tri-Care

What should I do if my insurance changes?

Whether you choose to sign up for a new plan on your own or your employer changes the options available to you, it is extremely important to let us know as soon as possible to ensure timely coverage. While you are ultimately responsible for knowing your benefits and coverage, we'll do our best to assist you.

What if I can't afford to pay my bill up front?

DHA does offer third party financing through a company called CareCredit, which is a credit card designed to help pay healthcare bills. Usable at medical and dental offices as well as for your vision, veterinary and other out of pocket expenses from healthcare procedures, CareCredit offers a few different interest free plans. More information is available on the CareCredit website or at any of our locations. Please see the Financial Coordinator at your Dental Health Associates location if you are interested in signing up.

Why was my insurance claim denied?

This can happen for a variety of reasons. At Dental Health Associates of Madison we strive to provide the most accurate estimate based on the information we have about your insurance plan. Sometimes there are waiting periods, or special clauses included in a plan, and sometimes plans change when they rollover into a new benefit year. If your claim has been denied for any reason, call our billing department or your insurance company directly to find out why.

How does DHA file claims?

We file most of our claims electronically, meaning they are sent to your insurance company through an electronic secured file. Sometimes smaller insurance companies don't accept electronic claims, so we print them and mail them out for you. Submitting your claims is done as a courtesy to you, and we strive to ensure each claim is received at your insurance company and processed. If your claim is outstanding for over 30 days, or requires additional information, we will follow up with your insurance carrier.

What is the difference between preventative/diagnostic, restorative and major care?

All plans are different, but the majority of them group dental procedures into categories. The most common ones are:

  • preventative/diagnostic - cleanings, x-rays, exams
  • restorative - fillings
  • major - crowns, bridges, dentures, implants, oral surgery, periodontic and endodontic work

Sometimes the categories can become more specific by grouping things such as oral surgery, periodontics and endodontics into their own categories, or by specifying coverage for only certain types of fillings or crowns.

Are there separate benefits under my plan for orthodontic work?

Most of the time, yes. Most insurance plans have a separate maximum used specifically for orthodontic work, but it is a lifetime maximum, not an annual one that will renew. This means that once you have reached your orthodontic maximum, you will not have coverage for orthodontic work again. Check your benefits information carefully when choosing or using your plan.