Are you confused about your dental cover?
Let us answer your questions.
At Keith Burns associates we deal with many different dental and medical insurance companies.
Most dental insurance works as follows:
- Firstly you must check the start date of your dental plan; treatment before the start date will not be reimbursed.
- Have your treatment completed, pay the dentist and obtain an itemised receipt. Our front of house will provide you with this on every treatment or at the end of a course if treatment.
- What treatment you received is clearly stated on the receipt.
- If you don’t get an itemised receipt, your payment may be delayed.
- You can now submit your claim; some companies have claim forms which are posted other companies allow you to do it on line where you will also be able to track its progress and view the outcome of all the claims you have made in the last 12 months.
- Insurance companies will process your claim and send payment or pay directly into your bank account.
- The amount of money paid depends on what level of insurance you have . Before you start treatment it is useful to discuss your cover with your dentist to confirm renumeration amounts.
- Routine exams and hygiene appointments are usually covered in full.
- For other dental treatments (fillings, crowns, onlays, root canals etc) a percentage of the total amount is paid (ranging from 50% to 100%) again depending on your cover.
- Emergency treatment for a one off treatment is usually covered 100% (seeing a patient on the day with extreme tooth ache to get that patient out of pain)
- Medical insurance can be used in our dental practice to cover some impacted wisdom teeth. If they are impacted they can be viewed as a medical condition. This can be discussed with your dentist.
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