Understanding Local Dental Insurance Issues : What You Need to Know about Dental Insurance Coverages

Understanding Local Dental Insurance Issues : What You Need to Know about Dental Insurance Coverages
Dental insurance is a type of insurance that helps cover the cost of dental care for many people. Dental insurance plans can include what is termed PPO or HMO dental insurance coverage. Dental insurance can help with dental treatment such as routine dental check-ups / dental exams, prophy cleanings, tooth fillings, wisdom tooth extractions, and dental crowns. 

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HMO dental insurance allows the patient to choose usually one dental office - and they have to go to that dental practice to get dental treatment.

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Many times your company or the company that you work for - may provide some form of dental insurance coverage. If you have to buy your own dental insurance coverage, then you usually purchase dental insurance plan that fits your needs. Usually will typically pay a monthly or annual premium.
Many dental insurance plans also have the patient pay a small fee, called a co-pay, for each visit to the dentist. The insurance company will then pay for a portion of the cost of your dental care. The amount that the insurance company pays will depend on the specific plan you have chosen and may be based on a percentage of the total cost, a set dollar amount, or a combination of both.

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For dental insurance coverage, it is important to understand what your dental insurance plan covers and what it doesn't. For example, dental veneers or cosmetic dental procedures such as teeth whitening may not be covered. 

Some plans may not cover certain procedures and may have limits on the number of visits you as a patient can visit a dentist. Also, the dollar amount that they will pay may be capped - at say, $1,500 maximum per year or so.

Additionally, dental insurance plans may have a network of dentists that you have to choose from, and you may have to pay more for services if you go out of network. It is also important to be aware of the annual maximum benefit, which is the most that the plan will pay out in a year, and the lifetime maximum benefit, which is the most that the plan will pay out over the entire time you have the insurance.


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In summary, dental insurance plans vary. It is best to do your dental insurance search online and ask your dental insurance company about the treatments that are covered.
Dental insurance can help cover some of the cost of some of your dental care. Though, it is important to understand the specific details of your dental insurance plan, including what is covered, and what is not covered. There may be limits or restrictions, and the network of dentists you have to choose from. It is important to understand if you have an HMO or PPO dental insurance plan. 
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