Dental insurance is not the great umbrella that it use to be. Insurance companies are in the business of making money and they are very good at it. They often make it difficult to get the benefits that you are entitled to.
You can only have a cleaning once a year. Have you heard this before? This is usually not the case. Insurance companies do limit some procedures but there are other procedures that you can have several times throughout the year. When you come in for a cleaning, your hygienist will do a variety of procedures.
The insurance companies will limit the number of times you can have a prophylaxis, fluoride, x-rays or recall. But what they don’t tell you is that you can have several visits of scaling during the year. Some plans will allow up to 16 units or even unlimited units. Since your hygienist will most likely only use 3-4 units at a time, this means you can come back for 4 -5 cleanings during the year. By using this benefit it will help you maintain a healthier mouth and still stay within the insurance companies’ requirements.
We can help you find out how many units you have available, just ask one of the receptionists.
Most dental plans will have a maximum dollar amount that you can spend during the year, the majority of the plans run the calendar year. The two things they don’t tell you is that -
We can help you figure out your maximums and make sure you are getting the greatest benefit from your plan.
This is a very misunderstood principle. Effective January 1, 2018, the dentists of Alberta have a new 2018 fee guide that they can base their fees on. Some insurance companies have not updated their plans accordingly and are often paying lower than the recommended fee guide. They are quick to blame the dentist but this is not the case. Some insurance companies are still paying on 1997 fee guides. The insurance companies also will not provide their fee guides to the public so there is no way of knowing what their complete fees are. We are happy to provide all our fees.
Pre-determinations are a regular part of dealing with an insurance company. There are several things to know when evaluating your preauthorization.
In the media you will see advertisements for plans that you can purchase on your own. These are designed for families that do not have a company plan. These are very expensive and are often very difficult to deal with and they also have very low maximums and fee guides. Make sure that you are asking the following questions.
We are more than happy to sit down with you and do a free Dental Insurance Consult, so that you can get the greatest benefit from your Dental Plan.