Insurance, Medicaid, Medicare, and Third-Party Financing Information

Government-Sponsored Coverage

The NYU College of Dentistry is a contracted provider for dental services covered under the State of New York Medicaid Governmental Plans. We accept all patients with Medicaid coverage. NYU College of Dentistry also provides care under the State of New York Medicaid Managed Care and other programs.

Please note that we may not accept all types of plans offered by all companies. Additionally, certain plans require the patient to elect NYU College of Dentistry as their primary dental care provider. To avoid delays in service, please contact your insurance company or consult your certificate of coverage for details on covered or non-covered services, co-payment requirements, service limitations or restrictions, yearly maximum, and the insurance plan participating or non-participating relationship with NYU College of Dentistry. 

While some Medicare Advantage plans may provide limited dental coverage, traditional Medicare plans do not provide dental benefits. If your treatment at NYU Dentistry is related to medical services, we will submit for reimbursement under your medical coverage through your traditional Medicare plan on your behalf.

 

Commercial Insurance Coverage

NYU Dentistry welcomes patients with commercial dental insurance. At this time, we are a participating provider for the following plans:

  • Delta Dental PPO
  • Cigna's DPPO Advantage network

NYU Dentistry will submit claims to the following commercial insurance plans as an out-of-network provider on your behalf:

  • Aetna Dental PPO plans 
  • MetLife PPO plans
  • Guardian PPO plans
  • United Healthcare PPO plans (Dental Benefit Providers)

Prior Authorization of Major Dental Procedures

Your provider must obtain prior authorization from your carrier in advance of treatment. This is so that we can provide you with as much information on the amount for which you will be responsible before you receive the treatment. In some cases, you have the right to waive this process, although we do not recommend it. While your insurance carrier may state that a particular procedure is a covered benefit, many larger dollar procedures are subject to a review by the insurance carrier before payment is made.

 

Termination of Dental Insurance Coverage

Possession of an insurance ID card does not guarantee eligibility. Your coverage must be valid at the time of treatment.

 

Changes in Insurance

Patients obtaining coverage after admission are expected to notify clinic staff or clinic receptionist so this can be noted on your record. Claims cannot be made retroactively; therefore, patients not informing NYU College of Dentistry of any changes are liable for treatment performed without authorization.
 

Third-Party Financing Information

If you are not enrolled with an insurance plan accepted at NYU Dentistry and you would like to receive treatment here on a self-pay basis, please note the following:

  • An initial fee of $135 (effective April 15, 2019) must be paid during registration. Acceptable payment methods include cash, checks (with proper identification), money orders, credit card (Visa, AmEx, MasterCard, or Discover), and many Flexible Spending Account (FSA) cards. Credit card payments cannot be accepted over the phone.
  • Third-party financing options are available for patients requiring a payment plan. Please visit Care Credit or Lending Club to learn more.
  • Credit card payments are accepted and can be made by visiting our secure website. »

 

Fees Associated with Emergency Services/Urgent Care

Patients presenting for Emergency Services/Urgent Care will be assessed a $75 fee, which covers the cost of a limited examination and applicable radiographs. Palliative procedures to relieve patients from pain are charged additionally.

Due to the unpredictability of the nature of urgent care, however, some patients may not be treated at the NYU College of Dentistry but will be referred to our affiliate, Bellevue Hospital, for treatment. Bellevue Hospital Center is located at 462 First Avenue, New York, NY 10010. Please note that emergency room fees and related expenses incurred at Bellevue Hospital are the responsibility of the patient.  

*As an academic dental center, NYU College of Dentistry follows an academic calendar, and is closed on some federal holidays as well as key academic dates (such as Graduation). Please see our Holiday/Closure Calendar for more information.

To learn more about Emergency Services/Urgent Care, please call 212-998-9458.