{"id":279,"date":"2023-11-28T20:22:28","date_gmt":"2023-11-28T20:22:28","guid":{"rendered":"https:\/\/www.marltoncosmeticdentist.com\/blog\/?p=279"},"modified":"2023-11-29T20:26:07","modified_gmt":"2023-11-29T20:26:07","slug":"what-does-your-dental-insurance-cover","status":"publish","type":"post","link":"https:\/\/www.marltoncosmeticdentist.com\/blog\/2023\/11\/what-does-your-dental-insurance-cover\/","title":{"rendered":"Determining Your Benefits: What Does Your Dental Insurance Cover?"},"content":{"rendered":"
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Dental insurance can be complicated to navigate and even more difficult to understand, which is why having a dental team that is happy to help you get the most out of your benefits is so important! Additionally, because every insurance plan is different, it can be hard to nail down what services yours will and won\u2019t cover. Read on to learn more about dental insurance<\/a> and how to learn what treatments may be covered.<\/p>\n\n\n\n\n\n\n\n

How Do Dental Insurance Plans Determine Coverage?<\/h2>\n\n\n\n

Every dental insurance plan is different, and depending on what type of coverage you elect, the treatments that your provider will pay for can vary. That being said, most<\/em> dental insurance plans use a 100-80-50 structure. This means that they will cover 100 percent of the cost of preventive services, like checkups, cleanings, and X-rays, 80 percent of more basic treatments, like cavity fillings, and 50 percent of more extensive procedures, like dentures, root canals, etc.<\/p>\n\n\n\n

If you\u2019re planning on getting a certain treatment, like dentures, it\u2019s best to contact your dentist\u2019s office directly to see if they can pre-authorize the claim with your insurance to determine how much you\u2019ll need to pay out-of-pocket. Or, if you would prefer, you can reach out to your insurance company directly.<\/p>\n\n\n\n

Here\u2019s some of the treatments that your policy will most likely cover at least a portion of the cost of:<\/p>\n\n\n\n