Are you familiar with your dental insurance plan?
- With the constant insurance changes we encourage you to become familiar with your dental benefits. Please understand that no plan is a pay all. Dental insurance is meant to be an aid to help functionally restore the mouth to sound dental health. It must be considered only as a subsidy for dental treatment.
- Your dental insurance is based upon a contract made between your employer and an insurance company. Many routine dental services are not covered by insurance companies. Necessary treatment may not be a covered benefit. It is also important for you to know that a procedure that was once covered may not always be covered. Treatment plans are determined by your doctor’s diagnosis of treatment needed, NOT by insurance coverage.
- What does allowable amount mean? Insurance seldom pays 100% of what providers charge anymore. The "Allowable Amount" is the fee that an insurance company will pay for a given service. Sometimes the allowable amount is based on a negotiated "Fee Schedule." Sometimes it is based on the "Usual and Customary Charge" for providers in a given geographic area. You may receive a statement with a residual balance after insurance pays as we do not know the allowable.