Medical Insurance Guide

Step 4

Your evaluation, your plan, and the claim

The New York Dental Implants team welcoming patients in the Canandaigua office

At your evaluation

Dr. Charles, an Oral & Maxillofacial Pathologist, examines you with 3D imaging and reviews the benefits information our team gathered. If your case has a medical cause, he documents the diagnosis the way a medical plan expects to see it.

You leave with an itemized plan

It shows each part of your treatment, what your plan is expected to pay, and what remains for you. Nothing starts until you have seen those numbers and agreed to them.

If you have traditional Medicare

For some services, Medicare asks that you be told in advance when it may not pay. If that applies, we ask you to read and sign a short form called an Advance Beneficiary Notice before treatment. It is not a bill. It simply makes sure you know ahead of time, so you can decide.

We handle the paperwork

  • Our team prepares the medical documentation your plan asks for
  • If your plan requires prior authorization, we request it
  • We file the claim with your plan

If your plan pays nothing

Then you will know before treatment, not after. Many patients pay directly, use HSA or FSA funds where their plan allows, or use third-party healthcare lending. Dr. Charles walks through every path with you at your consultation.

See the ways patients pay for treatment

What patients say about their insurance experience

“I have Medicare, of course, and I had no idea that Medicare would make a contribution to the cost. He advocated for that, and I got a considerable contribution from Medicare to the total cost. So that was a nice surprise.”
Marion F. · Medicare
“They did some insurance work with me, and my insurance covered a good portion of it, so that it made it affordable for me. If you've got any kind of medical coverage, have them check. Even if you don't think they're going to cover it, you'd be surprised.”
Melanie C. · Medical insurance

Their words, from their own videos. Every plan and every case is different. What a plan pays depends on the medical cause and on the plan itself, and we verify yours before you commit to anything.

See if you’re a candidate

Takes about a minute · No obligation

Please note: routine dental implants are not a Medicaid or Medicare benefit and are primarily paid out-of-pocket or through third-party financing. If you have a credit score below 650, no co-signer, and require financing, we likely cannot help. Tooth loss with a medical cause may be different — see our medical insurance page.