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Insurance

Dental Insurance We Accept At Modern Dentist of Port St. Lucie

Many health insurance plans include dental;  as it is a common health expenses you could be dealing with. Modern Dentist of Port St. Lucie takes all eligible insurance plans. Below is a list of the insurance plan companies we carry, entitling you to selected dentistry benefits.

 

We unfortunately Do Not accept HMO or Medicaid plans.

If you don’t see your plan on the list, please contact us so we can talk to you about your coverage.

At Modern Dentist of Port St. Lucie, we advise selecting a dental insurance plan with the best yearly maximum benefit. Some companies allow you to use your benefits as needed, covering most charges. With a payment schedule, you will only need to pay a specific amount for each procedure. Keep in mind that deductibles can vary significantly between plans. Some insurance carriers have straightforward deductibles for procedures beyond basic cleanings, which is particularly important if you ever require emergency dental care.

Understanding Your Dental Insurance Policy

If there is a treatment that we suggest to be done, there is no guarantee that your insurance covers it. However, we will gladly assist you in comprehending what your insurance plan covers.

Frequently Asked Questions

How do I avail on the first visit?

On your first visit, please arrive early so we can finish all the paperwork that needs to be completed for your insurance.

What should I do if my insurance changes?

If your insurance changes, be sure to update it with your company. Kindly verify your insurance whenever you visit your dentist. One change may mean not having your insurance claim adequately processed. Be sure to be updated on any change in the group number, subscriber number, or plan number.

Why was my insurance claim denied?

Below are some of the reasons why your insurance claim may be denied:

  • Misspelled name
  • Incorrect birthdate
  • Incorrect Subscriber Number or Group Number
  • Outdated Student Status
  • Failure to see your provider
  • Ended insurance
  • Missing tooth clause
  • Reached maximum yearly benefit
  • Insurance only covers bi-yearly cleanings
  • Treatment not covered
  • Waiting period for major restoration procedures

Can insurance companies limit coverage?

There are times when they do. Be sure to ask your medical insurance company about the benefits you are eligible for.

How To Get Dental Insurance

The first place to look for insurance is through your job. Numerous companies provide dental coverage as part of your health and benefits plan. If yours currently does not, ask if it’s something they will consider.

If you do not have a company plan, get estimates for coverage from insurance companies. There are two types of basic plan: individual and family dental insurance. These are for basic coverage: cleaning, checkups, basic fillings, and others. The more you have the budget for it, the better your coverage will be. Make sure you consider the deductibles and yearly treatment limits.

The estimate process is important if you want to get dental coverage that is within your budget. Once you have searched through a few companies and gotten some estimates, you can easily compare to ensure you get the best price. This step may take some time but it is completely worth it in the long run.

What Type Of Dental Coverage Is Best For Me?

Dental insurance plans are categorized according to premiums. In this case, premiums refer to dental procedures, minor and major. Most minor procedures are covered by basic packages by about 70%. It means that you only have to shoulder the remaining 30%. Most major procedures fall under 50% rates, which means you need to cover half of the amount.

A basic package is enough for you if you only need regular checkups and cleaning. If you are unsure what to get, feel free to ask us at Rivergate Dentists about what may be the best place for you.

all plans linked out to their provider websites

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