Dental Insurance Benefits & Exclusions

Oral health and overall body health are linked and first unhealthy symptoms generally appear orally.  It makes sense to ensure that your teeth, gums and general oral condition are professionally checked on a regular basis. Insurance that is either purchased independently or selected from employer suggested plan have some limitations and exclusions.  In general dental insurance benefits vary depending on the plan you have, so make sure you understand what is and isn’t covered. For example:

  • Deductible. How much are you responsible to pay up-front, before your dental insurance kicks in?
  • Co-payment. Will you and your insurance company share the costs of certain procedures?
  • Limitations of your plan. For example, what is the waiting period before your plan becomes effective? What is the maximum yearly benefit?
  • Exclusions. Which procedures are covered? Which ones are not? Are there specific exclusions for pre-existing conditions?  If your insurance plan doesn’t cover a recommended procedure, it doesn’t mean it’s not important. 

As a courtesy to our patients we request pre authorization and use several online tools to check your dental benefits.   Also, we offer affordable payment plan for non covered procedures and patient portions.

If you have any question please email us at info@greatsmilesarehere.com or call us at (925) 939-9177.

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Mehri Zarekari, DMD
1575 Treat Boulevard #115
Walnut Creek , CA , 94598
(925) 939-9177
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