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Dental Insurance Facts

As a dental practice that strives for your optimal care, we would like to share some facts about dental insurance with you.

Fact 1: Dental insurance was never set up to cover your services 100%; it is only an aid.

When dental insurance plans first appeared back in the 1960’s, most plans had a yearly maximum of $1000. Here we are over 50 years later and most plans still have a $1000 yearly maximum. Your premiums have increased, but benefits have not.

Fact 2: Many routine dental services are not covered by insurance companies.

This does not mean they are not necessary or appropriate, just not covered. The treatment we recommend and the fees we charge will always be based on your individual need, not your insurance coverage.

Fact 3: It is more realistic to expect dental insurance companies to cover 35%-50% of major services.

Many tell their participants that they will be covered “up to 80% or up to 100%,” but do not clearly specify plan fee schedule allowances, maximums, or limitations.

Fact 4: Your insurance is a contract between you, your employers and the insurance company. We are not a party to that contract.

Some insurance companies reimburse based on an arbitrary schedule of fees, which bears no relationship to the current standard and cost of care in this area.

While the filing of insurance claims is a courtesy that we extend to our patients, all charges are your responsibility from the date the service is rendered. We encourage you to contact us promptly for any assistance in the management of your account. It is your responsibility to find out and know for certain the extent of your insurance coverage. If you have any questions about the above information or any uncertainty regarding insurance coverage, PLEASE don’t hesitate to ask us.