Insurance Partners

Most health insurance plans do not include dental coverage. Dental insurance is typically offered as a separate plan. However, some health plans might offer dental coverage as an add-on. It's important to check with your health insurance provider to understand what, if any, dental services are covered.

Yes, most dental insurance plans have an annual maximum benefit limit. This is the maximum amount the insurance company will pay for dental care within a given year. Once this limit is reached, any additional costs will be the responsibility of the insured.

"In-network" refers to dentists or dental practices that have a contractual agreement with your dental insurance company to provide services at predetermined rates. "Out-of-network" providers do not have such agreements, and seeing them may result in higher out-of-pocket costs for you.

Balance billing occurs when an out-of-network dentist bills you for the difference between their charge and what your insurance has paid. For example, if the dentist charges more than what your insurance deems as the "reasonable" rate, you may be responsible for paying the difference.

Assignment of benefits is an agreement where you allow your insurance company to pay your dental care provider directly. This means the insurance payment for your treatment goes straight to the dentist, reducing your upfront out-of-pocket expenses.

If you disagree with a charge, first address the issue directly with your dental care provider to seek clarification or correction. If the issue is not resolved, you can then file a dispute or appeal with your dental insurance company. Make sure to keep detailed records of all communications and documentation related to the charge.

If your company doesn't offer dental insurance, you can purchase individual dental insurance from a variety of insurance companies. Consider the list of dental insurance companies we are in-network with as a starting point to find a plan that meets your needs.

Dental insurance typically covers a portion of the cost of your treatment, depending on the type of plan and the specific treatment you need. Preventive care like cleanings and check-ups are often covered at higher rates, while more complex procedures may have lower coverage levels or be subject to deductibles and copays.

Verifying your insurance helps us confirm your coverage details, including benefit limits, copays, deductibles, and eligibility for specific procedures. This ensures that we can accurately bill your insurance and inform you of any out-of-pocket costs.

To verify your insurance, we typically need your insurance provider's name, your policy number, the primary policyholder's name, and possibly their date of birth. This information helps us to contact your insurance company and confirm your coverage details.

Yes, you can have more than one dental insurance plan. This is known as dual coverage. It doesn't double your coverage, but it may reduce your out-of-pocket costs as the secondary insurance can cover some of the costs not covered by the primary insurance.

If you lose your job and your dental insurance was provided through your employer, you may lose your coverage. You might be eligible for continuation of your insurance coverage through COBRA or you can look into purchasing individual dental insurance.

This could occur due to several reasons, such as the treatment exceeding your annual maximum benefit, the service being not covered under your plan, or a billing error. Contact both your dental care provider and insurance company to clarify the charges.

EOB stands for Explanation of Benefits. It is a statement from your dental insurance company detailing what treatments were covered, the amount billed, the amount covered by your insurance, and any balance you owe to the dental care provider.

A deductible is an amount you need to pay out-of-pocket before your insurance starts covering your dental expenses. Some plans have low or no deductibles for preventive care but higher deductibles for more extensive procedures.

Dental insurance plans usually categorize procedures into preventive, basic, and major services, with varying levels of coverage for each category. It's important to review your plan's specific coverage details.