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4 Tips to Maximize Your Dental Insurance Coverage

November 24, 2017

dental Insurance coverage formsIf you pay your monthly dental insurance premiums, you should be reaping the benefits of this investment. A good dentist will help you make the most of your dental benefit plan, but it won’t hurt if you have a better understanding of how your plan works. Read this post to learn more about the ins and outs of dental insurance coverage. Then, talk to your dentist about how to make the most of your benefit plan.

1 – Keep Your Regular Dental Checkups

Most general dentists focus their practice on preventive dental care, especially regular dental checkups. What you might not be aware of is that dental insurance covers a percentage of necessary dental care. Preventive treatments are covered at the highest percentage. Most providers offer 100% coverage for dental checkups and teeth cleanings, and 80% or higher coverage for other preventive treatments like dental sealants and fluoride treatments. By visiting the dentist every six months, you receive the maximum amount of dental insurance coverage and prevent more advanced oral health concerns that are covered at lower percentages by your benefit plan.

2 – Visit an In-Network Dental Office

In-network dental offices have agreed to your insurance provider’s fees for treatment plans. That means you’ll only need to pay your percentage of the treatment out of pocket. Out of network practices do not have a predetermined plan with your benefit provider, so they will need to negotiate a rate with your dental insurance plan. This may mean you need to pay the difference between the insurance plan’s fair pricing and your dentist’s set fees. Most dentists will work with you and your benefit plan to minimize your out of pocket costs.

3 – Understand the Plan Lingo

Dental insurance plans are complicated, but if you understand some of the lingo you’ll be better prepared to maximize your coverage. Some of the most common insurance plan terms include:

  • Premium – the monthly amount you and your employer pay for insurance coverage
  • Maximum – the highest amount your dental plan will pay in a given year
  • Deductible – the amount you will need to pay before your dental insurance coverage begins
  • In-network – provider that has a standing agreement with dental insurance companies to work within their allowed treatments and fee plans
  • Out of network – dentists who do not have a standing agreement with your insurance plan, but who will process and file insurance paperwork

4 – Talk to Your Dentist & Dental Team About Coverage

The easiest way to maximize your dental insurance is to talk to your dentistry team about your benefit plan. Anytime you need an advanced treatment, take the time to ask your dentist about how your dental insurance will cover the service. This ensure you’re never surprised with additional fees after your treatment begins.

Meet the Smile Refined Family Dentistry Team

At Smile Refined Family Dentistry, Dr. Shweta Sinha and her caring team are dedicated to helping patients achieve and maintain healthy, happy smiles and keep them for life. If you need our assistance maximizing your dental insurance, we can help with that too. We process and file dental insurance claims every day, and we can help you make the most of your coverage for any necessary dental care. Don’t hesitate to ask our team about your dental benefit plan at your next checkup, or call our team today. We’ll be happy to answer your questions and help you better understand your dental insurance coverage.

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