Insurance Information

Dedicated to your oral health & happiness

At Advanced Dentistry of Mount Pleasant, we are an out-of-network provider, but that doesn’t mean you won’t receive coverage for your treatment. Understanding how your benefits work can help you make informed decisions about your dental care while maximizing your coverage.

Navigating dental insurance can be confusing, especially when it comes to understanding what it means to see an out-of-network provider. Many patients assume that out-of-network means no coverage at all, but that’s not always the case. In fact, many insurance plans still provide benefits for out-of-network care, allowing you to receive high-quality treatment while getting reimbursed for part of the cost.

A few key points:

Out-of-network dental providers are not contracted with your insurance, but your plan may still offer reimbursement.
Our office will make the process as seamless as possible and will file all claims on your behalf.
Our treatment coordinators are able to submit a pre-treatment estimate (“PTE”) on your behalf to your insurance and get a more accurate view of your coverage prior to any cleaning visits or treatment.

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Benefits of Choosing an Out-of-Network Specialist

Choosing an out-of-network dentist gives you the flexibility to receive care from a provider who meets your specific needs, rather than being limited by a list of in-network options. Some benefits include:

Access to high-quality care from a trusted provider of your choice.
Potential for partial or full reimbursement depending on your insurance plan.
Personalized service that is dictated by an insurance company. We will focus on your patient experience and a tailored comprehensive treatment plan.
Help from our team submitting pre-treatment estimates to help manage costs effectively and understand your coverage.

Consider our Dental Savings Club

We believe routine dental care should be available for all, and we want to help make that an affordable option. We have many patients who had insurance coverage who decided to switch to our in-house membership program because they found more savings with our plan. Our team is readily available to help answer any questions about our Dental Savings Club and how it may benefit you and your family.

Learn more about our Savings Club

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Frequently Asked
Insurance Questions

Check out these frequently asked questions, or call us at 843-936-1690 to speak with our team.

Does my insurance have out-of-network coverage?

Many insurance plans offer reimbursement for out-of-network care. The exact amount will depend on your plan’s benefits. We are happy to assist you in learning more about your benefits!

How will I know how much my insurance will cover?

All insurance plans are different, which is why we recommend submitting a pre-treatment estimate, also known as a “PTE”. It typically takes around 2-3 weeks to receive the PTE from your insurance company. Once it is received, we are able to help you know a more accurate estimate of your insurance coverage.

Do I have to pay the full cost upfront?

Yes, you will need to pay for your treatment upon checkout. Our office will then submit the claim on your behalf. We also offer financing options to help spread out costs. Read more about our financing options on our Patient Resources page.

Do I have to submit my own claim for reimbursement?

No! Our office will submit all the necessary paperwork for your claim complimentary, making the process of reimbursement seamless.

Is it worth seeing an out-of-network dentist?

Yes! If you value quality care, a trusted provider, and flexible treatment options, choosing an out-of-network dentist can be beneficial. With insurance reimbursement, it can still be affordable.

How long will it take to receive my insurance reimbursement?

Your insurance will reimburse you directly with a check mailed to your residence typically within 2-3 weeks. Some claims may take longer depending on the treatment. Our office is always available to help with claims.