Open enrollment for health insurance will be here in just a few months! When you are picking out your medical policy, you may also wisely choose to purchase a dental insurance plan. What should you know while you are shopping for benefits? This blog post provides some helpful pointers.
PPO Plans Provide More Freedom
There are different categories of dental insurance. Two of the most popular types are PPO and HMO plans. With an HMO plan, you must visit an in-network dentist in order to use your benefits. With a PPO plan, you can use your insurance at virtually any dental practice in the United States (although benefits may differ slightly between in-network and out-of-network providers). Most people prefer PPO coverage due to the flexibility it provides.
There Are Standard Coverage Levels
Most dental plans cover 100% of the cost of preventive care, so you may be able to attend checkups and cleanings without paying anything out of pocket. Minor restorative services are often up to 80% covered, whereas major restorative services are usually just 50% covered.
Keep in mind that coverage can vary quite a bit between plans, so it is important to double-check the details of any policy that you are thinking about buying.
Be Picky if You Require Specialty Care
There are certain specialty services that can be beneficial for oral health but are not always covered by insurance. For example, if you want dental implants, you should be sure to find out whether a plan will cover treatment. If you need braces or Invisalign, you should also do a bit of digging to find a policy that includes orthodontic coverage.
There Are Fees and Stipulations
Dental insurance plans often have a number of fees and stipulations that can affect how much you must pay for care. For example, you may have a waiting period of 6 – 12 monthsbefore you can use your plan to cover certain restorative services. There is also likely to be a deductible that you have to pay out of pocket before your insurance will pay for anything. Additionally, it is common for PPO plans to have an annual maximum that places a limit on the amount that the insurance company will pay for approved services within a 12-month period.
Your Dental Team Wants to Help
Dental insurance can be overwhelming, but most dental practices have one or more team members who know all the ins and outs of insurance. They can help you understand your benefits, file claims for you, and assist you with finding answers to your questions. You can call them anytime to learn how you can maximize your benefits!
Shopping for dental insurance can be a challenge. Choose your plan carefully so you can enjoy top-quality care at a reasonable price throughout the coming year.
Meet the Practice
Under the leadership of Dr. Nelson Y. Howard, our team provides top-quality, reasonably priced dentistry for the Rancho Bernardo community. We are always ready to answer patients’ questions and help them use their dental insurance in the most advantageous way. To learn more about how we may be able to serve you, contact us at 858-451-0550.