Financial Options

Payment Options:  Financial options are discussed during the initial visit.  Dr. Ewig and his staff are committed to providing excellent surgical care and guide patients in choosing the best payment option for their individual needs.  We accept cash, personal check, Visa, MasterCard & Discover.  Care Credit and Lending Club, specifically designed health-care financing methods, have been increasingly useful for our patients.  Please ask our financial coordinator about these.

Dental and Medical Insurance: Your insurance is a contract between you or your employer and a dental insurance company.  The benefits you receive from insurance are based on the terms of that contract.

The goal of most insurance policies is to provide only basic care for specific services.  The benefits that you receive from the dental insurance company under your current insurance plan have nothing to do with you personally or achieving a high quality, complete result.

Our office will do everything possible to help you understand and make the most of your dental insurance benefits.  As a courtesy, our office will complete and submit your insurance forms to achieve the maximum reimbursement to which you are entitled.  Please remember that you are ultimately responsible for all expenses incurred.  We urge you to read your policy so that you are fully aware of coverage and any limitations of the benefits provided.

Policy Form

Please fill out the form and bring it in for your visit. You can also fax it to 937-426-2818.

Download Form