Dental Insurance FAQ: The Basics

Nov 13, 2018 | Updates

Dental Insurance FAQ The Basics
At Soundview Family Dental, we understand that dental insurance can be a tricky thing to navigate. Evaluating dental plans and considering deductibles, benefits, which treatments are covered, and the mountain of other information insurance companies provide can be a headache in and of itself. We want every patient to have the power to control their own health, so here’s a simplified guide to the basics of dental health insurance. Dental Insurance

Dental insurance

Dental insurance is an excellent investment that helps Edmonds residents ensure a lifetime of healthy smiles. However, in order to get the best value from your dental insurance, there are a few things you need to know. Here are the answers to the most common questions we hear at Soundview Family Dental.

What is dental insurance?

Having dental insurance means that an insurance provider will pay for a percentage of the dental care that you need every year. Plans vary in terms of how much they cost, how much they cover, and which dentists are included. If you would like to know if Dr. Kitts is included in your provider network, please contact Soundview Family Dental today.

What do dental insurance plans cover?

Insurance carriers cover dental procedures in three fundamental categories:  preventative (examinations, routine cleanings, x-rays, etc.); basic/restorative (cavity fillings, tooth extractions, etc.); and major (crowns, bridges, surgical extractions, dental implants, etc.). The classification of procedures into categories varies according to each insurance carrier, but most dental insurance plans have “100-80-50” coverage, which means routine cleanings, checkups, and diagnostic care are paid for in full; 80 percent of the cost of fillings, root canals, and other basic procedures are covered; and 50 percent of the cost of dental implants and other major procedures are covered. Cosmetic dental procedures, such as whitening treatments, are not usually covered.

What are premiums, co-payments, deductibles, and maximums?

  1. Premiums – These are the basic yearly or monthly costs of your dental insurance. Premiums do not include copayments or deductibles.
  2. Copayments – Per visit payments of a flat rate or a percentage of the total appointment cost.
  3. Deductibles – For each plan, there is an annual amount that you must pay before insurance will cover expenses. After your deductible is met, your insurance plan will cover a percentage of the cost of your dental care.
  4. Plan maximums – Most plans include a maximum dollar amount that will be paid for your dental expenses. You are financially responsible for any amount exceeding your plan maximum.

When do benefits renew?

Benefits are usually calculated yearly and renewed on the 1st of January. It is important to know that unused coverage does not carry over to the next year.

Contact us

If you have specific questions about your dental insurance, you can contact your insurance provider directly or contact Soundview Family Dental today! We are always happy to answer any questions that help keep Edmonds smiles beautiful and healthy. The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.
Sources: http://www.humanadental.com/tools/faqs.asp http://www.bankrate.com/finance/insurance/dental-insurance-1.aspx
Eric Kitts, DDS

Eric Kitts, DDS

Owner @ Soundview Family Dental

Born in Seattle and raised in Puyallup, Dr. Eric Kitts received his undergraduate degree from Washington State University and his DDS from the University of Washington School of Dentistry. Dr. Kitts began practicing dentistry in 2000, at his office in Richmond Beach. In 2011, Dr. Kitts built a brand-new, state-of-the-art dental facility located in the heart of downtown Edmonds.

Book with us today!

Are you unhappy with the appearance of your teeth and refuse to show the world your beautiful smile? Has discomfort at the dentist kept you from receiving dental work that will give you a reason to smile again?

At Soundview Family Dental in Edmonds, WA, we understand that not everyone likes the dentist. Our team of caring professionals works with you to ensure that you feel comfortable from the moment you walk through the door. Specializing in cosmetic and restorative dentistry, Dr. Kitts and his team work hard to preserve your natural teeth and give you back a smile you can be proud of.

Contact today to schedule an appointment and let our team deliver a beautiful, natural-looking smile you can be proud to show off.

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