Delray Beach Dentist Gives The Beginners’ Guide to Choosing a Suitable Dental Insurance Plan 

June 9, 2021

Let’s just face this! Getting your dental problems treated is expensive, much more than we can imagine. Commonly, even the most basic dental cleaning can put a hole in your wallet for some patients. That is why most of the expert dentists always recommend going for a comprehensive dental PPO plan or any other insurance type to help subsidize your dental healthcare costs.

The majority of the people neglect visiting the dentist or receiving the appropriate  dental care because they have used most of their benefits for the year, or the insurance plan doesn’t incorporate the necessary treatment. On the other hand, there are still many individuals who acknowledge that having minimal options under coverage is more useful than having nothing at all. But if this is the case, then how is an individual going to ever begin treatment?

Well, don't worry, as we have made it easier for you. Here are a few key steps that are beneficial enough to consider while buying a PPO dental insurance or similar plans. Yes, this will undoubtedly help you in not getting captured with unforeseen expenses.

So, Let’s Get Started With the Basics Then.

For your reference, a dental insurance plan gives you maximum coverage for treatments and pays for it on your behalf. In simple words, there are plenty of policy plans that pay for a portion of the dentist’s performed work. Whether it is getting an X-ray done, routine cleaning, or getting implants, the insurance provider takes care of a portion of it.

The premium is usually lower as compared to general health insurance. Of course, complications are going to be there. As we generally see that standard insurance plans cover a substantial portion of expenses. However, it is not the same in case of a dental insurance plan. Most of the providers follow a 100-80-50 coverage format. Here’s a quick illustration of it.

Preventive-100%

Basic - 80%

Major-50%

For instance, if you visit your dentist, they cover 100% of the expense for preventive care treatments like cleaning, exams, or any X-rays. Whereas wisdom tooth extraction, root canal, or filling treatment get a coverage upto 80% of the total expense. Lastly, bridges, crowns, and any contagious infection treatment may have half (50%) coverage. Also, you need to know that cosmetic dentistry and Orthodontic (braces/invisalign) are typically not covered under the insurance plan, which means you have to come out pocket.

Knowing the Different Types

HMO (Health Maintenance Organisation), Indemnity Dental Plans, and PPO (Preferred Provider Organisation) plan are the various types that fall under the insurance plans. Amidst all these categories, PPO dental insurance is the most preferred option. Primarily, dentists register under a PPO network and confer their dental fee arrangement with the insurance provider. If, under any circumstance, you opt for a dentist that is out of the mentioned network, then definitely, you have to pay from your pocket for the treatment expenses.

No doubt, these plans can be expensive as they have higher administrative costs. They offer more versatility than the rest of the options as they often have a more extensive network.

Finding the Right Insurance Plan

You can find countless insurance providers online. So that you don’t have to do the legwork, we have made it easier for you. Before finalizing any plan, make sure to check your eligibility. Here are a few questions to ask the provider:

Is your preferred dentist in-network, or you have to switch to some other insurance provider?

What are the costs related to deductibles, co-insurance, and co-payments?

What is the total monthly premium going to be?

What treatments are covered under the dental PPO plan or other plans?

How much coverage does dental insurance provide?

Is there a waiting period ?

There can be times when choosing a suitable dental insurance plan may seem daunting to you. However, that is fine as it is beneficial in the long run and helps you keep the expenses minimal without breaking the bank.

Are you looking for assistance with a tailored PPO dental insurance plan or a certified PPO dentist? Get in touch with us to schedule an appointment at 561-276-6684. Our experts would love to assist you with creating a dental insurance plan that precisely fits your preferences.


Schedule today with your Dentist in Delray Beach! Call (561) 276-6684

Why Choose Us

At Signature Dental Group in Delray Beach, Florida, we are committed to helping our patients have the ultimate experience in dentistry through a unique, comprehensive, and friendly approach. Our “home-style” office layout represents our own patient-focused philosophy to be open, honest, and caring to all our patients.

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