At San Marcos Pediatric Dentistry, we are committed to providing exceptional dental care that is both accessible and affordable for every family. Our team actively coordinates with insurance providers to help make the financial side of care as clear and manageable as possible.
Because insurance participation can change, we encourage families to contact our office to confirm the most up-to-date insurance information.
Insurance Participants (In-Network)
We currently participate in the following insurance plans:
- Aetna PPO
- Ameritas
- Arizona Complete Health (Ahcccs)
- BC/BS of Arizona
- Careington
- Cigna PPO
- Delta Dental PPO
- Dentemax
- GEHA
- Guardian
- Humana
- Liberty Dental
- Lincoln Financial
- Lineco
- MetLife
- Mutual of Omaha
- Premier Access
- Principal
- Southwest Services
- Sunlife (previously Assurant)
- TDA PPO
- UMR
- United Concordia
- United Healthcare PPO
- United Healthcare Community plan (Ahcccs)
- UNUM
How Can You Verify Your Coverage Before Your Visit?
Before scheduling your first appointment, we recommend verifying your benefits directly with a representative from your insurance provider. This helps you better understand:
- Your coverage details
- Expected copayments due at the time of service
While we cannot guarantee specific insurance approvals or payment amounts, our office will provide a preliminary cost estimate to support transparency.
Do You Submit Insurance Claims for Patients?
Yes. Our office diligently submits insurance claims on your behalf and communicates with your insurer to help maximize your benefits.
If a balance remains after insurance has processed the claim, you will receive a clear and detailed statement.
Understanding Dental Insurance
Dental insurance is intended to be a financial aid, not a full payment solution. Ultimately, responsibility for all charges remains with the patient or guardian, regardless of insurance involvement.
Our primary relationship is with you, and our priority is always your child’s care and your family’s experience in our office.
What Happens If There Is an Outstanding Balance?
If you receive a statement for a remaining balance, timely payment is appreciated. We understand that financial situations may vary, especially during urgent dental needs, and we encourage open communication if you have concerns regarding payment.
Our team is here to help whenever possible.
Payment Methods
For convenience and accessibility, San Marcos Pediatric Dentistry accepts a variety of payment options, including most major credit cards.
Please note: you are fully responsible for all fees charged by our practice, regardless of insurance benefits.
Frequently Asked Questions
Understanding insurance and payment options can feel overwhelming. These answers help clarify how financial and insurance matters are handled at San Marcos Pediatric Dentistry.
How Do I Know If My Insurance Is Accepted?
Insurance participation can change, so we recommend contacting our office directly to confirm current in-network plans before your visit.
Will You Check My Benefits Before the Appointment?
Yes. Our team reviews your insurance information and provides a preliminary estimate to help you plan ahead.
What Should I Expect to Pay at the Time of Service?
Copayments, deductibles, or uncovered portions may be due at your appointment, depending on your specific plan.
Do You Handle Insurance Claims for Families?
Yes. We submit claims on your behalf and communicate with your insurance provider to help maximize benefits.
What If My Insurance Pays Less Than Expected?
If insurance processes a claim differently than anticipated, you will receive a detailed statement outlining any remaining balance.
