We accept a majority of dental insurance policies and file claims on your behalf to save you the hassle and time of doing it yourself. We will let you know upfront what your policy will pay for and will also give you payment options for the amount that your insurer will not cover.
We accept and honor most dental insurance plans. The following are just a few of the dental insurance carriers we’re providers for:
- GEHA-CONNECTION DENTAL
- ANTHEM/UNICARE PPO 100/200/300
- ANTHEM BCBS/UNICARE/WELLPOINT
- ANTHEM BCBS GA FEDERAL
- MAVEREST/DWP – PREFERRED
- CARE PLATINUM PPO
- CARE PPO
- UNITED CONCORDIA
- DELTA PPO
- UNITED HEALTHCARE
What Is a Covered Benefit?
A covered benefit is a treatment that your dentist recommends and is located on the fee schedule and is accepted under the plan terms of your insurance company.
What Is Optional Treatment?
An optional treatment is one that is not listed in the fee schedule or one that is more than the minimum required to restore your teeth to their original function.
What Is the Difference Between Indemnity, PPO and HMO Insurance Plans?
Traditional or indemnity insurance reimburses dentists or other dental professionals at the Usual, Customary & Reasonable rate. This allows you to go to any dental practice without having to choose one from a list of participating providers.
PPO or Preferred Provider Organization insurance is the most common type of policy. It gives you a list of participating dental providers, and you have to visit one of those. The dentists on the list agree to lower fee schedules to provide you with more savings. They also help with filing insurance claims. Most insurers pay 50 percent of major treatments such as partials and crowns, 80 percent of basic dental services such as cavity fillings and up to 100 percent of preventative services such as basic cleanings and exams. Generally, annual maximums range between $1,000 and $2,000 a year.
HMO is also known as prepaid or capitated insurance. It is designed to give you basic care at the cheapest price. Dental providers that participate in this type of plan receive monthly capitation checks for patients who are assigned to their practices. The amount is only a few dollars and offsets administrative fees. This type of insurance generally does not pay for rendered services, so the patient is required to pay the dentist. However, the costs are usually reduced significantly.