Direct Billing and Insurance
At North Kamloops, we believe that dental care should be accessible, transparent, and stress-free. We understand that knowing about the ins and outs of insurance policies that cover your dental needs can feel complex, which is why our team at North Kamloops is here to help you maximize your benefits while minimizing your out-of-pocket expenses.
To make your visit as convenient as possible, we offer direct billing (also known as assignment of benefits) to most major insurance providers.
What is Direct Billing?
Direct billing is a service where our office submits your dental claim electronically to your insurance provider immediately following your treatment. Instead of you paying the full cost upfront and waiting weeks for a reimbursement check, the insurance company pays our clinic directly.
On the day of your appointment, you are only responsible for the “co-payment”, the portion of the fee not covered by your insurance plan. For example, if your plan covers 80% of a cleaning, you simply pay the remaining 20% at the desk, and we handle the rest.
Insurance Providers We Work With
We accept and can direct bill most Canadian private and employer-sponsored dental insurance plans. Our system is compatible with major carriers, including:
Your Responsibilities as a Patient
While we do our best to manage the paperwork, insurance policies are a contract between you, your employer, and the insurance company. To ensure a smooth billing process, we ask that you:
Provide Current Information
Know Your Limits
Update Us on Changes
Contact Us Today
If you have questions about your specific plan or how direct billing works, our friendly front-desk team is here to help.
Call us at (250) 312-7717 or visit our clinic in North Kamloops to schedule your next appointment.
Where does it come from?
What if my insurance doesn’t cover the full cost of my treatment?
Why was my insurance claim denied or only partially paid?
Insurance companies may deny claims for several reasons, such as reaching your annual spending limit, “frequency limitations” (e.g., only allowing one cleaning every nine months), or specific procedure exclusions. While we assist in the submission, the patient is ultimately responsible for the total cost of treatment if the insurer denies payment.
Can you tell me exactly how much my insurance will cover before my surgery?
Yes! For major restorative work, such as dental implants, crowns, or bridges, we provide Pre-Determinations. We submit a detailed treatment plan to your insurer before the work begins. They will send back an estimate of what they will cover, allowing you to plan for out-of-pocket costs with total clarity.