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All About Insurances

Filed under: — drghorbani @ 8:38 pm

Dental Insurance Coverage and Break Down

Research has shown that many patients avoid the dentist because they fear cost of dental care or don’t understand what dental insurance might cover. To make matters worse, dental insurance is not an easy topic to tackle for anyone.  Therefore, at our dental practice in Burke, we take several steps to to make sure our patients dental treatments are estimated to the best of our abilities. We also create custom scheduling and financing plans to ensure patients get the dental care they need. Finally, we create financing plans that make even the most advanced dental treatment a reality with our patients’ budgets.

To begin with, what does it mean to be In vs. Out of Network dental provider?

Being in Network Dental Provider means the dentist has elected to follow set guidelines, including negotiated fees, by the insurance company

The benefits to patients are: possible higher percentage coverage for treatment & negotiated fees that are lower than the standard office fee. Therefore, resulting in a lower out of pocket or patient liability.

  • The following examples assumes the following:
    • Dental Cleaning Office Fee is $ 135.00, The Negotiated Insurance Fee is $ 100.00
    • Dental Crown Office Fee is $ 1500.00, The Negotiated Insurance Fee is $ 1200.00

We are In Network with most major PPO plans, and are happy to process and file claims for most dental insurance plans. Some of the PPO plans we work with include:

  • Aetna
  • Ameritas
  • Anthem
  • Assurant Dental
  • BlueCross BlueShield
  • CareFirst
  • Cigna
  • Delta Dental
  • Dental Network of America
  • GEHA Dental Plans
  • Guardian
  • Humana Dental
  • Lincoln Financial Group
  • MetLife
  • Principal Financial Group
  • Sun Life Financial
  • UnitedHealthCare

At Shield Dental Care, we’re dedicated to making sure that our patients receive the treatment they deserve at prices they can afford. If you’d like to learn more about what we offer, give us a call or visit our office today. We can’t wait to talk to you!

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