Insurance & Financing Information

Insurance Coverage

We proudly accept most major insurance plans across our six convenient locations. Our knowledgeable staff will work with your insurance provider to maximize your benefits and minimize out-of-pocket expenses.

Our New Jersey offices accept most major dental insurance plans including:

Please note: NJH, UHC, and Liberty are New Jersey HMOs not accepted at our Delaware location.

Click to see the complete list of

insurances accepted at our offices:

Our Bear, DE office accepts all major dental insurance plans plus:

These Delaware MCOs are not accepted at our New Jersey locations. For a complete list of insurances accepted at our Bear office, click here.

Out-of-Network Benefits

Don’t see your insurance listed? We can still help! We file claims for out-of-network patients when there are assignment of benefits available for out-of-network providers. Contact our office to discuss your specific coverage and options.

Medicaid, CHIP, and State Insurance

Families who qualify for Medicaid or the Children’s Health Insurance Program (CHIP) can access pediatric dental services at our offices. Pediatric dental coverage is considered an essential health benefit under the Affordable Care Act, meaning most children’s plans must include dental care.

We work with state insurance programs to ensure your child receives the care they need. Our staff handles pre-authorizations and coordinates directly with your provider so the process stays simple on your end. Whether your child needs a routine cleaning or a more involved procedure, we will work with your plan to get the necessary approvals before treatment begins.

Flexible Payment Options

We understand that every family’s financial situation is unique. That’s why we offer several payment solutions to fit your budget.

CareCredit Financing

We’ve partnered with CareCredit to offer flexible financing options that allow you to:

In-House Payment Plans

For families who prefer to spread out payments without third-party financing, we offer simple in-house payment arrangements:

In-Office Discount Plan for Hygiene Visits

We offer an exclusive in-office discount plan for hygiene visits to help families without insurance coverage or those with limited benefits. Ask our front desk team about enrollment details and how much you could save on preventive care.

Making Dental Care Affordable for Every Family

We understand that even with insurance, dental costs can add up. That is why our team works hard to help families stretch their benefits and reduce out-of-pocket expenses wherever possible.

Here are a few ways we help keep your child’s dental care within reach:

Taking advantage of your full benefits each year is one of the easiest ways to keep your child’s oral health on track without overspending. If you have questions about what your plan covers, our team at any of our locations is happy to walk you through it.

Our Financial Philosophy

We believe financial considerations should never be a barrier to excellent dental care. Our dedicated team works diligently to help you understand all costs associated with your child’s treatment and identify the payment options that work best for your family.

 

We’re committed to transparency in our financial policies and will always discuss costs before beginning treatment. If you have questions about insurance coverage, payment options, or your specific financial situation, please contact our office or speak with our team at your next visit.

 

Schedule an appointment today and experience the compassionate, comprehensive care that makes Kool Koala Pediatric & Adolescent Dentistry the trusted choice for families throughout New Jersey and Delaware.

 

Frequently Asked Questions

How Do I Know if You Accept My Insurance?

We accept most major insurance plans, including Medicaid and CHIP. Because plan networks can vary by location and provider, the best way to confirm your child’s coverage is to call the office where you plan to schedule. Our staff will verify your benefits before the appointment so you know exactly what to expect. If you are unsure which plan your child is enrolled in, check your insurance card or contact your provider directly, and we can take it from there.

Some insurance plans require approval before certain treatments can begin. This is called a pre-authorization, and it is the insurance company’s way of confirming they will cover the procedure. For services like extractions, root canals, or hospital dentistry, our team submits the pre-authorization request on your behalf and waits for confirmation before scheduling. This means you will have a clear picture of your coverage and any estimated costs before your child’s treatment begins.

Please bring your child’s insurance card, a valid photo ID for the parent or guardian, and any completed patient forms. If your child has dental records from a previous provider, those are helpful but not required. Having your insurance information ready when you arrive allows our front desk team to verify benefits quickly and keep your appointment on schedule.

There are times when your child’s dentist may recommend care your plan does not fully cover. When this happens, we explain your options and estimated costs before any work begins. We can also help you explore payment alternatives through our financial information options so your child’s care is not delayed.

For children who need sedation dentistry or treatment in a surgical center, we work with your insurance provider to get as much of the procedure covered as possible. Our team handles the pre-authorization process and will walk you through your estimated costs before anything is scheduled. If there is a remaining balance your plan does not cover, we will discuss payment options with you so you can make the best decision for your child without any surprises.

If your child’s insurance plan has changed for any reason, whether from a new job, a Medicaid renewal, or a change in coverage, please let us know before your next appointment. Calling ahead gives our team time to verify your new benefits and make sure everything is in order before your child is seen. This helps avoid billing confusion and ensures your child’s visit goes smoothly from the moment you walk in.

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