{"id":152,"date":"2022-09-08T19:40:00","date_gmt":"2022-09-08T19:40:00","guid":{"rendered":"https:\/\/www.allensmiledesign.com\/blog\/?p=152"},"modified":"2022-10-04T19:43:46","modified_gmt":"2022-10-04T19:43:46","slug":"what-is-covered-by-my-dental-insurance-plan","status":"publish","type":"post","link":"https:\/\/www.allensmiledesign.com\/blog\/2022\/09\/08\/what-is-covered-by-my-dental-insurance-plan\/","title":{"rendered":"What\u2019s Covered by My Dental Insurance Plan?"},"content":{"rendered":"\n<div class=\"wp-block-image\"><figure class=\"alignright size-medium\"><a href=\"https:\/\/www.allensmiledesign.com\/blog\/2022\/09\/08\/what-is-covered-by-my-dental-insurance-plan\/\" class=\"block-image-link\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"200\" src=\"https:\/\/www.allensmiledesign.com\/blog\/wp-content\/uploads\/2022\/10\/dental-insurance-300x200.jpg\" alt=\"Patient filling out dental insurance forms.\" class=\"wp-image-153\" srcset=\"https:\/\/www.allensmiledesign.com\/blog\/wp-content\/uploads\/2022\/10\/dental-insurance-300x200.jpg 300w, https:\/\/www.allensmiledesign.com\/blog\/wp-content\/uploads\/2022\/10\/dental-insurance-1024x682.jpg 1024w, https:\/\/www.allensmiledesign.com\/blog\/wp-content\/uploads\/2022\/10\/dental-insurance-768x512.jpg 768w, https:\/\/www.allensmiledesign.com\/blog\/wp-content\/uploads\/2022\/10\/dental-insurance.jpg 1430w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/figure><\/div>\n\n\n\n<p>Your smile is one of the first things that people will notice about you\u2014meaning that it\u2019s in your best interest to take great care of your pearly whites! One of the best ways you can do this is by having (and taking advantage of) dental insurance benefits. Here\u2019s a little more insight into what types of <a href=\"https:\/\/www.allensmiledesign.com\/for-patients.html#insurance\">dental insurance plans<\/a> are available and what each plan typically covers, so that you can set your smile up for lasting health and beauty.<\/p>\n\n\n\n<!--more-->\n\n\n\n<h2 class=\"wp-block-heading\">What Types of Dental Insurance Plans Are Available?<\/h2>\n\n\n\n<p>Here are a few of the different types of dental insurance plans:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Preferred Provider Organization (PPO) \u2013<\/strong> If you have a PPO plan, you have the option to visit a dentist either inside or outside of your insurance provider\u2019s network. However, you\u2019ll often have lower out-of-pocket costs if you stick with an in-network practice.<\/li><li><strong>Dental Health Maintenance Organization (DHMO)<\/strong> \u2013 DHMO plans work a little differently. In contrast, they require you to visit a dentist that your provider has approved. If you seek care outside of the approved list of specialists, you might not be covered by your plan.<\/li><li><strong>Discount dental plans<\/strong> \u2013 These programs provide you with a pre-negotiated rate that you can expect to pay if you receive dental care from a select group of practices. Even though none of your services are technically covered, you\u2019ll still get a considerable discount on the care you do receive.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What Does My Dental Insurance Plan Cover?<\/h2>\n\n\n\n<p>Most dental insurance plans operate on a 100-80-50 coverage structure, meaning that certain procedures and treatments are fully covered, and others are only partially covered. Here\u2019s a breakdown:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>100% coverage<\/strong> \u2013 Preventive care is often fully covered by dental insurance plans, as regular checkups and cleanings are an inexpensive way to prevent serious and costly issues from progressing. These visits include routine oral examinations, X-rays, plaque\/tartar removal, and more.<\/li><li><strong>80% coverage<\/strong> \u2013 Minor restorative care is usually covered up to 80% after your plan\u2019s deductible. While some plans might interpret \u201cminor restorative care\u201d differently, services covered often include things like dental fillings, simple extraction, and other noninvasive procedures.<\/li><li><strong>50% coverage<\/strong> \u2013 Major services such as oral surgeries, restoration options like crowns or implants, root canal therapy, and more are often only covered by up to 50% of a plan\u2019s maximum. In some cases, these total costs can exceed your plan\u2019s maximum, necessitating the need to schedule treatment for the following year as well (assuming coverage doesn\u2019t lapse).<\/li><\/ul>\n\n\n\n<p>Knowing exactly what your dental insurance plan covers can make seeking out and scheduling treatment a much easier process. If you\u2019re uncertain about whether or not you\u2019re covered for a particular procedure, don\u2019t hesitate to ask your dentist\u2014they\u2019ll be happy to help you maximize your benefits.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">About the Practice<\/h2>\n\n\n\n<p>The team at Allen Smile Design is honored to serve patients and families in the Allen, TX area under the leadership of Dr. Tonie C. Lewis. The practice is proud to offer a wide range of available services including preventive, cosmetic, restorative options and more. If you have any questions about the article or would like to arrange a visit, you can contact the practice <a href=\"https:\/\/www.allensmiledesign.com\/contact.html\">online<\/a> or over the phone for assistance: (972) 954-9728.<\/p>\n","protected":false},"excerpt":{"rendered":"Your smile is one of the first things that people will notice about you\u2014meaning that it\u2019s in your best interest to take great care of your pearly whites! One of the best ways you can do this is by having (and taking advantage of) dental insurance benefits. Here\u2019s a little more insight into what types of dental insurance plans are available and what each plan typically covers, so that you can set your smile up [&hellip;] <a class=\"read-more\" href=\"https:\/\/www.allensmiledesign.com\/blog\/2022\/09\/08\/what-is-covered-by-my-dental-insurance-plan\/\">(Read More)<\/a>","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-152","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/www.allensmiledesign.com\/blog\/wp-json\/wp\/v2\/posts\/152","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.allensmiledesign.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.allensmiledesign.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.allensmiledesign.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.allensmiledesign.com\/blog\/wp-json\/wp\/v2\/comments?post=152"}],"version-history":[{"count":1,"href":"https:\/\/www.allensmiledesign.com\/blog\/wp-json\/wp\/v2\/posts\/152\/revisions"}],"predecessor-version":[{"id":154,"href":"https:\/\/www.allensmiledesign.com\/blog\/wp-json\/wp\/v2\/posts\/152\/revisions\/154"}],"wp:attachment":[{"href":"https:\/\/www.allensmiledesign.com\/blog\/wp-json\/wp\/v2\/media?parent=152"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.allensmiledesign.com\/blog\/wp-json\/wp\/v2\/categories?post=152"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.allensmiledesign.com\/blog\/wp-json\/wp\/v2\/tags?post=152"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}