{"id":1083,"date":"2021-10-06T18:37:00","date_gmt":"2021-10-06T18:37:00","guid":{"rendered":"https:\/\/www.carlsondentalgroup.com\/blog\/?p=1083"},"modified":"2021-11-02T18:37:52","modified_gmt":"2021-11-02T18:37:52","slug":"what-does-your-dental-insurance-plan-cover","status":"publish","type":"post","link":"https:\/\/www.carlsondentalgroup.com\/blog\/2021\/10\/06\/what-does-your-dental-insurance-plan-cover\/","title":{"rendered":"Dental Insurance 101: What Does Your Plan Cover?"},"content":{"rendered":"\n<div class=\"wp-block-image\"><figure class=\"alignleft size-medium\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"179\" src=\"https:\/\/www.carlsondentalgroup.com\/blog\/wp-content\/uploads\/2021\/11\/AdobeStock_261316616__1635340561_45217-300x179.jpg\" alt=\"woman holding a pink piggy bank and pointing to her smile \" class=\"wp-image-1084\" srcset=\"https:\/\/www.carlsondentalgroup.com\/blog\/wp-content\/uploads\/2021\/11\/AdobeStock_261316616__1635340561_45217-300x179.jpg 300w, https:\/\/www.carlsondentalgroup.com\/blog\/wp-content\/uploads\/2021\/11\/AdobeStock_261316616__1635340561_45217-768x459.jpg 768w, https:\/\/www.carlsondentalgroup.com\/blog\/wp-content\/uploads\/2021\/11\/AdobeStock_261316616__1635340561_45217.jpg 800w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/figure><\/div>\n\n\n\n<p>You signed up for a <a href=\"https:\/\/www.carlsondentalgroup.com\/dental-insurance.html\">dental insurance<\/a> plan and you\u2019re aware that it\u2019s important, but do you truly understand how it works? Dental insurance benefits can save you quite a bit of money on the care your smile needs, but only if you use them properly! If you want to make the most of the coverage you\u2019re paying for, it\u2019s crucial to know what your plan covers. Read on as a dentist in Jacksonville gives you a basic rundown.<\/p>\n\n\n\n<!--more-->\n\n\n\n<h2 class=\"wp-block-heading\">Two Key Terms to Know: Annual Maximums &amp; Deductibles<\/h2>\n\n\n\n<p>First and foremost, you have to understand two important dental insurance terms: your annual maximum and your deductible. Your annual maximum is the amount of money that your insurance company will put toward your care in a given period (typically one calendar year).<\/p>\n\n\n\n<p>Before you can access your annual maximum, though, you have to meet your deductible. The deductible is the amount you must pay out-of-pocket before the insurance company steps in and starts covering your treatments. After that, your insurance will pay for your care until you\u2019ve reached your annual maximum.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The 100-80-50 Guideline for Dental Insurance Coverage<\/h2>\n\n\n\n<p>Every dental insurance plan is different, but most of them follow a 100-80-50 rule in terms of which types of treatments they\u2019ll cover. You can usually expect them to pay for:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>90-100% of <strong>preventive<\/strong> and diagnostic care (checkups, cleanings, etc.)<\/li><li>70-80% of <strong>basic<\/strong> treatments (gum disease therapy, fillings, etc.)<\/li><li>50-60% of <strong>major<\/strong> procedures (dental crowns, root canals, etc.)<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Additional Costs You\u2019re Responsible For<\/h2>\n\n\n\n<p>In addition to your deductible, you\u2019ll also have a couple of other expenses:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Premiums<\/strong> \u2013 The monthly, quarterly, or yearly fee you have to pay your insurance company to keep your plan active.<\/li><li><strong>Co-pays<\/strong> \u2013 Every time you visit your dentist\u2019s office for an appointment, you\u2019ll need to pay a specific amount.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">How to Make the Most of Your Dental Insurance Benefits<\/h2>\n\n\n\n<p>Now that you understand the basics of dental insurance coverage, the next step is to learn how to maximize your benefits. For the majority of insurance plans, any benefits that remain unused at the end of the year expire when the plan resets. If you currently have some benefits left and you\u2019ve already met your deductible, now is the perfect time of year to get any dental work you need (such as fillings) taken care of. That way, you\u2019ll pay as little as possible for it!<\/p>\n\n\n\n<p>Do you still have questions about how dental insurance works? Feel free to call your dentist. Their team is more than happy to help you navigate the ins and outs of your plan to keep your smile healthy and your wallet full!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">About the Practice<\/h2>\n\n\n\n<p>At <a href=\"https:\/\/www.carlsondentalgroup.com\/about-us.html\">Khoi Dental Group &#8211; Formerly Carlson Dental Group<\/a>, our dentists have decades of experience in a wide variety of areas of dentistry, allowing families in the Jacksonville area to get all of their oral healthcare needs met under one roof. We\u2019re in-network with many of the country\u2019s leading dental insurance providers, so we\u2019d love to help you save on your care! To learn more about what your dental insurance covers, <a href=\"https:\/\/www.carlsondentalgroup.com\/contact.html\">contact us<\/a> at 904-262-8409.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>You signed up for a dental insurance plan and you\u2019re aware that it\u2019s important, but do you truly understand how it works? Dental insurance benefits can save you quite a bit of money on the care your smile needs, but only if you use them properly! If you want to make the most of the [&hellip;]<\/p>\n","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-1083","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Dental Insurance 101: What Does Your Plan Cover? | Carlson Dental Group<\/title>\n<meta name=\"description\" content=\"Curious about what your dental insurance covers? 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