Dental Insurance & Payment Information
Out of Network. Never Out of Options. Choosing a dentist starts with finding the right care and the right relationship. Our team can explain how our fee-for-service practice works and help you prepare questions for your insurer.
An independent practice. Clear payment expectations.
Dr. John T. Bailey is not contracted with dental insurance networks. Patients may still choose to visit our West Melbourne practice, but out-of-network benefits vary and some plans do not cover this care.
We're happy to electronically submit dental insurance claims on your behalf using the insurance information you provide. Our team can also help you understand your available benefits.
Payment in full is due when services are rendered. Insurance reimbursement is typically sent directly to the patient. Insurance coverage and reimbursement vary by plan, and we cannot guarantee the amount your insurance company will pay. You remain responsible for the full practice fee.
For qualifying prepaid appointments, a 2.5% adjustment may apply. Please ask our team whether your appointment qualifies and how the adjustment is applied before prepaying.
We can also submit a predetermination of dental benefits to help you better understand anticipated coverage before treatment. A predetermination is not a guarantee of payment; coverage and reimbursement depend on your plan.
Written estimates. Clear expectations.
Before treatment, we'll provide a written estimate of anticipated costs and give you time to ask questions. Insurance benefits cannot be guaranteed.
Ask your insurer about out-of-network benefits, deductibles, annual maximums, waiting periods, exclusions and the plan's allowed fees. Our practice fees may differ from those allowances. Bring current insurance information to your visit, and call us if you are unsure what to bring.
Frequently asked questions
Do you accept dental insurance?
West Melbourne Dentist is not contracted with dental insurance networks. We are a fee-for-service practice, and our team files insurance claims as a courtesy. This is different from being an in-network provider. Whether your plan pays for out-of-network care depends on its terms.
Can I visit if you're out of network?
Yes. You can choose to visit Dr. Bailey even though the practice is out of network. Some plans provide out-of-network benefits; others do not. Check with your insurer before scheduling so you understand any network restrictions and your potential costs.
Will your office submit insurance claims?
Yes. As a courtesy, we electronically submit claims using the insurance information you provide. Full payment is due when services are rendered, and insurance reimbursement is typically sent directly to you. Claim submission does not guarantee payment. We can also request a predetermination of dental benefits when appropriate.
How much will my insurance reimburse?
Your insurer determines reimbursement under your individual plan. Deductibles, annual maximums, exclusions, waiting periods and the plan's allowed fees may affect payment. Our fees may differ from your insurer's allowance. You are responsible for the full practice fee, including any amount your plan does not reimburse.
Can I receive an estimate before treatment?
Yes. Before treatment, we provide a written estimate of anticipated costs and time to ask questions. We can also submit a predetermination of dental benefits to help clarify anticipated coverage. Neither a written estimate nor a predetermination guarantees insurance payment.
What should I know before scheduling?
Call the office with your insurance questions and ask your insurer whether your plan covers out-of-network dental care, what restrictions apply and how reimbursement works. Bring current insurance information to your visit. Full payment is due at the time of service; claim submission does not make the practice an in-network provider.
Questions About Your Dental Insurance? Contact Our Team.
Arrange your visit by phone or call (321) 723-0938. Appointments are confirmed directly with the office.
West Melbourne Dentist · Dr. John T. Bailey, DMD · 917 South Wickham Road, West Melbourne, FL 32904.
Monday, Wednesday and Thursday: 8:00 am–5:00 pm. Tuesday: 12:30 pm–7:30 pm.