Let's Talk Dental Insurance

We are able to bill almost all insurances.

Dental insurance benefits are dictated solely by your plan that you are on. Not all plans are created equal. We are happy to look into your plan and help understand how your specific plan. It is your responsibility to gather information on your plan and understanding.

Coverage Types

Dental insurance plans may offer various types of coverage, including preventive, basic, and major services. Preventive services often include routine check-ups, cleanings, and X-rays, while basic services may cover fillings and extractions. Major services usually include more complex procedures like crowns, bridges, and root canals.

Pre-authorization

Certain procedures may require pre-authorization from the insurance company before they are covered. This involves obtaining approval for the treatment plan and estimated costs.

Waiting Periods

Some dental insurance plans have waiting periods for certain services, particularly for major procedures. This means that coverage for certain treatments may not be immediate after obtaining the insurance.

Exclusions

Dental insurance plans often have exclusions, which are specific services or conditions that are not covered. It's essential for policyholders to understand these exclusions to avoid unexpected expenses.

Claim Process

When a covered dental service is provided, the dentist or the insured individual submits a claim to the insurance company. The insurance company then processes the claim and pays the covered portion directly to the provider.

Understanding the details of a dental insurance plan, including its coverage, costs, and limitations, is crucial for individuals to make informed decisions about their oral health care and financial responsibilities.