Dental Insurance St. Augustine
Get More Out of Your Benefits
If you have a dental insurance plan, you can regard it as a valuable provision. Not only can it grant access to low-cost preventive care, but it may also significantly reduce your out-of-pocket obligation for more extensive services, such as restorative treatments. But what steps should you take to get the most out of your benefits? Our St. Augustine dental team is here to assist you. As an insurance-friendly practice, we are eager to help you navigate the process of using your policy.
How Dental Insurance Works
Every dental insurance plan is a bit different. It is important that you set aside some time to learn about the details of your specific policy. In the meantime, here is a generalized overview of the coverage that you are likely to find with many PPO plans:
- Preventive care is up to 100% covered.
- Basic services are typically around 80% covered.
- Major services are frequently 50% covered.
- Coverage can vary greatly for certain advanced services, such as orthodontia and dental implants.
- Cosmetic treatments are usually not covered at all.
What Is the Difference Between Dental & Medical Insurance?
Medical and dental insurance have different areas of focus. Medical coverage is meant to support your head-to-toe health, so it covers things like physicals, emergency care, and management of various acute and chronic illnesses. It does not typically apply to routine dental services, including cleanings, checkups, fillings, crowns, etc. Dental insurance, on the other hand, does cover those things.
In rare cases, there is some overlap between dental and medical insurance. For example, they might both cover certain types of oral surgery.
In-Network vs. Out-of-Network
Whether our St. Augustine dental practice is inside your insurance network or outside of it, we warmly invite you to see what we have to offer. We can even file claims for many out-of-network plans!
In-Network Coverage
To be “in-network” with an insurance company, we must abide by a contract, which is designed to keep prices low for patients and encourage certain standards of care. Often, out-of-pocket fees are lowest at in-network practices. At Total Dental Care, Dr. Lee and our team are in-network with:
- Zelis
- Connection
Out-of-Network
If you do not see your insurance provider listed above, you are still more than welcome to visit us! We can file claims for virtually all PPO plans, and you might be surprised by how much you can save. Keep in mind that the most important thing is to visit a dental team whom you truly trust to take great care of you.