Are you a participating provider with my insurance?
Our office is currently participating with Aetna PPO, Cigna PPO, Delta Dental PPO, and MetLife PDP, however, many of our patients have chosen to come to our office using their out-of-network benefits. For all other insurance plans we will provide you with a completed form to submit to your insurance company to be reimbursed using your out-of-network benefits.
What are out-of-network benefits?
Out-of-network benefits provide you with the capability to see a dental office of your choice that may not be listed as a participating provider with your insurance plan.
These benefits may provide you with the same level of coverage as going to an in-network provider or the benefit level may be reduced. To find out more about your out-of-network coverage, please contact your insurance carrier.
Are sealants covered under my plan?
Benefits vary with each employer. Please contact your insurance company for a complete and detailed listing of your benefits.
How frequently are my cleanings covered?
Most plans allow 2 cleanings per year; however, some plans require these cleanings to be 6 months and 1 day apart. To obtain a thorough understanding of your dental plan limitations please contact your insurance company.
Why does my insurance cover only one fluoride treatment per year?
Although the American Dental Association recommends fluoride treatments with each cleaning appointment (every 3 to 6 months, depending on risk for getting cavities), most insurance companies are cutting back on their benefits and are covering only one treatment per year.
Your insurance plan may not cover certain preventive treatments that can save you money later. This does not mean these treatments are unnecessary.
"There are many ways in which dental plans are designed and how reimbursement levels are determined. You need to know how your dental plan is designed-and its limitations."
American Dental Association
"Your dental plan is designed to SHARE in your dental care costs. It may not cover the total cost of your bill. Most plans cover between 50 to 90 percent of dental services."
American Dental Association