personal, professional dental care • (847) 253-8505

Financial Policy

Dentist in Rolling Meadows, IL

The primary goal of Elegant Smiles is to provide patients with personalized treatment plans to create the smile of your dreams. Although patient satisfaction is our utmost priority, our practice is also a business with obligations that must be met – as a result, we ask that all patients pay for their treatment IN FULL the day of their visit unless prior arrangements have been made. 

We will do our best to provide patients with the closest possible estimate of your next visit(s) total bill. Please bring cash, check, or credit card at the time of treatment. With the proper diagnosis and a timely treatment plan, most estimates we provide will be accurate.

Outstanding balances on your account are discouraged and must be cleared before the next appointment or within 30 days of treatment, whichever comes first. Appointments for non-emergency treatment may need to be postponed pending payment of outstanding balances. Amount due and not paid in full within 30 days will be charged interest at a rate of 1.5% per month in addition to a $5.00 monthly billing fee per statement. 

Delinquent balances over 90 days old will be forwarded to collections. All referred accounts are marked “Inactive”. In order to have your account reactivated, and continue to receive dental treatment in our office, the delinquent balance will be charged to your account. Only after this total account balance has been paid in full can appointments be made and your account and patient status be reactivated. 

Patients with Dental Insurance

For patients with dental insurance, please contact us with your insurance card and other relevant documentation to process your insurance at least 48 hours prior to your first appointment, or if you are an existing patient then as soon as your insurance has changed. Please be aware that we will always do our best to help you to maximize your benefits, and although we file claims for you as a courtesy, your dental insurance policy is a contract between you, your employer, and your insurance company – Elegant Smiles is not a participating provider. Although our practice provides treatment plans that are individually tailored, the plans are not based on your dental insurance benefits or lack thereof. As a result, not all of our services are covered benefits in all contracts. Some insurance companies arbitrarily select certain services they will not cover. It is your responsibility to thoroughly understand the coverage and exceptions of your particular policy. Coverage issues can only be addressed by your employer or group plan administrator. We cannot act as a mediator with the carrier or your employer. Should you have any questions or concerns about what is covered, please do not hesitate to ask our front desk staff to clarify what is covered under our current plan. 

Your claim will be filed immediately, and benefits are expected are to be paid within 30 days. The filing of an insurance claim does not relieve you of timely payment on your account. If the claim is not cleared by your carrier in 45 days, the unpaid portion will automatically become “self-pay” and a statement will be issued to you for the unpaid portion. You are responsible for any amounts your insurance company chooses not to pay, for whatever reason. Any amounts expected to be paid by your insurance company, but not cleared by them within 45 days become your responsibility and, if not paid in a timely fashion, will begin to accumulate interest at the rate of 1.5% per month with the billing fee of $5.00 per monthly statement. Please feel free to contact your insurance company regarding unpaid benefits. We will gladly provide you with a letter which would include all the pertinent information which you may sign and mail. 

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4200 Euclid Ave. Suite 200
Rolling Meadows, IL 60008
(847) 253-8505