Aspen Dental.

The following payment policies apply:

• Payment in full of the Patient Financial Responsibility amount, as specified in the Treatment Acceptance and Payment Arrangement Form, is due no later than when services are rendered. Acceptable forms of payment include cash, personal checks, Visa®, MasterCard®, American Express®, Discover®, assigned insurance benefits and select third-party financing programs.
• For comprehensive treatment plans requiring multiple office visits, a minimum deposit of 60% of the Patient Financial Responsibility amount is required.
• You may, at your discretion, elect to pay in full, in advance for comprehensive treatment plans. Refunds will be processed in accordance with the Refund Policy.

You may discontinue treatment and request a refund at any time for any amount that you paid for treatment that you did not receive; provided, however, crown and bridge patients are responsible for the full cost of their treatment plan after preparation of natural teeth for the prosthetic has begun.

Your refund request will be handled as follows:

• Original Form of Payment. Refunds will be processed to the original form of payment, except cash payments will be refunded by check.
• 180 Days of Inactivity. Credit balances existing on accounts after 180 days of inactivity will be automatically refunded to the original form of payment, except cash payments will be refunded by check.
• Seven Days of Inactivity – New Patients. If you are a new patient who has had no treatment performed, has no scheduled appointments and has a credit balance on your account, after seven days of inactivity you will automatically receive either (a) a notice that you are entitled to a refund if you paid by cash or check or (b) an automatic refund to your original form of payment if you paid by credit card or with third party financing.
• Timing of Refunds.
  • Cash/Check: After receiving your refund request, we will confirm that your payment has cleared the bank (may take up to 15 business days). Once cleared, you will be issued a refund check within 10 business days.
  • Credit Card/Third Party Financing: Refunds will be issued to the form of payment within 3 business days after receipt of your refund request. If you paid by credit card, it may take up to 7 business days for the credit card company to post the payment to your account.
• How to Request a Refund.
  • Contact your office and request a refund
  • Email a refund request to: [email protected]
  • Mail a refund request to:
    • Aspen Dental Management, Inc.
    • Attn: Refund Processing
    • P.O. Box 3126
    • Syracuse, NY 13220

If you have dental insurance, your insurance claim will be processed as follows:

• In Network: If your dentist is a participating provider with your insurance, you will be billed pursuant to the terms of your dentist’s agreement with your insurer, subject to the Insurance Estimate Guarantee described in Section I.
• Out of Network: If your dentist is not a participating or in-network provider with your insurance plan, we will honor the in-network patient responsibility rates from your carrier. If your insurance carrier will not comply with your assignment of benefits to your dentist, you will bear the financial responsibility for the estimated insurance benefit.
• Insurance Discounts: Insurance companies often negotiate discounts for services provided to their plan members. Should you exceed your annual benefit limit, the insurer’s discounted rate may apply to additional services as a benefit to you. Aspen Dental will honor your insurer’s policy.

Your Aspen Dental practice accepts payment from non-affiliated, third-party lenders (i.e., CareCredit issued by Synchrony Bank, DentalFirst Financing. issued by Comenity Capital Bank). Aspen Dental pays these companies fees on a sliding scale for making loans available to patients like you and for the lender’s cost of servicing these loans. As the aggregate amount of care financed through these lenders increases, the fees they charge Aspen Dental decrease. This sliding scale pricing arrangement does not affect your loan amount or the cost of your treatment.

Credit decisions are solely the responsibility of these third-party lenders. You may elect to pay all or a portion of your treatment using one of these third-party lending products.

We are committed to providing you with exceptional service and care. If you feel you have an issue that cannot be resolved by your office team, please call the Patient Satisfaction Hotline at 1-866-273-8606 or email us at [email protected].