Insurance

Frequently Asked Questions

How Can I Find Out What My Dental Insurance Benefits Include?

Understanding your dental insurance benefits is essential for getting the most out of your plan. To check your benefits, you can review your insurance policy documents or contact your provider directly. Our team is also happy to help you navigate your coverage and explain what’s included in your plan.

What’s the Difference Between In-Network and Out-of-Network Dentists?

An in-network dentist has an agreement with your insurance company to provide services at reduced rates, which means you’ll typically pay less out-of-pocket. Out-of-network dentists are not bound by these agreements, so your costs may be higher.

Is Dental Insurance Different From Medical Insurance?

Yes, dental insurance is separate from medical insurance. While medical insurance focuses on overall health and emergencies, dental insurance is designed to cover routine dental care and specific oral health needs, such as cleanings, exams, fillings, and sometimes orthodontic or cosmetic treatments.

How Does Dental Insurance Work?

Dental insurance typically covers a percentage of the cost for specific services. For example, preventive care like dental cleanings and exams is often covered at 100%, while restorative services may be partially covered. Your plan may also include an annual maximum limit for coverage. Our team can help you understand how your plan works and how to make the most of it.

What Does My Dental Insurance Cover?

Coverage varies by plan but often includes:

• Preventive care like cleanings, exams, and X-rays.
• Minor restorative treatments, such as fillings.
• Major services like crowns or root canals.

Some plans also cover orthodontics or cosmetic procedures. If you’re unsure about your coverage, we can review your policy and help clarify the benefits available to you.

What Is PPO Dental Insurance?

PPO (Preferred Provider Organization) dental insurance allows you to visit any dentist, but you’ll save more when you choose an in-network provider. With a PPO plan, you have flexibility in selecting your dentist while still receiving coverage for treatments.

How Many Cleanings and Exams Are Covered By Insurance Each Year?

Most dental insurance plans cover two teeth cleanings and exams per year as part of their preventive care benefits. These regular visits are essential for maintaining oral health and catching potential issues early.

Are Dental Implants Covered By Insurance?

In many cases, dental implants are covered, but this depends on your specific plan. Some policies include a “missing tooth clause,” meaning they won’t cover implants for teeth lost before the policy started. Our team can review your plan to determine what’s included and guide you through the process.

Does Dental Insurance Cover Invisalign® as a Cosmetic Treatment?

Invisalign is often considered a cosmetic dental treatment, and most insurance plans may not cover it under standard orthodontic benefits. However, some plans provide partial coverage for Invisalign, depending on the policy and its cosmetic dentistry provisions. Our team can help you review your insurance plan and explore options to make Invisalign more affordable.