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The world of dental insurance can be like a maze with a bull chasing you through it. Even if you find your way, you can still be stressed out. In fact, so many patients get stressed out that they lose over 100 billion dollars to insurance companies annually. That’s a lot of money that was paid into the system that is now sitting in an insurance CEO’s offshore bank account!
If you want to see where that money is hemorrhaging from, continue reading. Below are five ways patients often lose money on dental insurance.
1. Unused Annual Maximums
Dental plans often come with an annual maximum – the most your plan will pay for covered services in a year. Ensure you use this to the fullest by going over your treatment plan with your dentist and scheduling out procedures and their costs throughout the year. This will ensure that you use every penny of what you’ve paid for.
2. Not Understanding Coverage
Knowing the details of your coverage is critical. Different plans may cover specific procedures at varying percentages. Understanding these details helps you make informed decisions about when and where to get dental work done.
In general, most plans use a 100-80-50 rule:
- Preventive Treatments – 100%
- Basic Restorative Treatments – 80%
- Advanced Restorative Treatments – 50%
Every insurance plan will be different, so it’s important to learn exactly what you’ll be paying out of pocket, including copays. Luckily at Laketown Family Dental, they will go over your insurance with you before treatment starts!
3. Ignoring In-Network Providers
Opt for in-network dentists to save on costs. Dentist offices collaborate with different insurance providers and what one accepts, another may not. In-network providers offer discounted rates, reducing your out-of-pocket expenses. Utilizing these dentists ensures you are maximizing your insurance benefits.
4. Overlooking Preventative Services
Take advantage of your plan if it fully covers preventive services like cleanings and screenings. Regular preventive care not only maintains oral health but also helps you maximize the benefits your insurance offers.
5. Skipping Treatments
Avoiding necessary treatments due to cost concerns can lead to more significant issues down the road. A filling today can become a dental crown, a root canal, or a dental implant tomorrow.
When you do go in to get treatment, communicate with your dentist about your financial constraints. They can help you explore payment options or discuss alternative treatments that your insurance may cover more. Remember, the goal is to use up all the benefits you already paid for!
About the Practice
Dr. Ariel Heisser and Dr. Eric Heisser are the power couple dentistry duo behind Laketown Family Dental. Their shared passion for helping patients smile their best and be free from pain is clear in their quality work and friendly demeanor. They make using your insurance easy by going over your plan before treatment. To schedule an appointment, call (231) 737-2273 or visit the website to explore other services.