If you have dental insurance, you may still be wondering whether you can use it at a practice that is not part of your plan’s network. The answer, for most patients, is yes. PPO plans typically include out-of-network benefits, which means your insurer will still reimburse a portion of your care, even when you visit a provider outside their contracted network. HMO and EPO plans generally do not carry out-of-network benefits, so we encourage those patients to contact our office directly to discuss their options.
At Ambler Dental Arts, we are currently out of network with all dental insurance plans, and we will file your claims on your behalf. Our team handles the paperwork after your visit, submitting your claim with the correct procedure codes and documentation so you can take advantage of whatever your plan provides. Before your appointment, we are happy to help verify your out-of-network benefits so you have a clear picture of your expected costs. Visit our patient information page to learn more about what to expect at our office.
Navigating insurance on your own can be time-consuming, and we want to make the process as straightforward as possible. After each visit, our team prepares and submits your claim directly to your carrier. We provide all required documentation, and if your insurer requests additional information, we coordinate that as well.
Understanding your plan type is the best first step. The table below shows how PPO and HMO/EPO plans differ when it comes to visiting an out-of-network office like ours.
The most helpful thing you can do beforehand is call the member services number on the back of your insurance card. Ask specifically about your out-of-network coverage, your annual deductible, and your coinsurance percentage. According to the American Dental Association, most out-of-network dental claims can be submitted using the standard ADA dental claim form, which our office handles on your behalf.
Here is exactly what happens after each visit when we manage your claim.
Being prepared before your visit helps things move smoothly on both ends. Please bring the following to your first appointment:
Having this information ready allows our team to verify your coverage, prepare your claim accurately, and keep your visit as efficient as possible.
Not having dental insurance does not have to get in the way of quality dental care. We offer an in-house membership plan designed specifically for patients without coverage, as well as financing options to help spread the cost of larger treatments. These options are covered in full on their dedicated pages, and our front desk team is always available to walk you through what makes the most sense for your situation.
Whether you need a routine dental cleaning, are exploring restorative options, or want to understand your out-of-network benefits before committing to a treatment plan, we are here to make sure costs are never a barrier to getting the care you need. Our team works with patients across all budgets to find a path forward.
Our team serves patients throughout Lower Gwynedd, Spring House, Blue Bell, Horsham, and the surrounding Montgomery County communities, and we are committed to making dental care accessible regardless of your insurance situation. See what our neighbors have to say on our patient reviews page, and explore our full range of dental services to learn how we can support your health.
Ready to schedule your visit? Reach out to our office through our contact form and a member of our team will be happy to help you get started.
Yes. Our team submits your claim directly to your insurance carrier after each visit, along with all required documentation and procedure codes.