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How to Understand and Maximize Your Dental Insurance

As part of National Insurance Awareness Day in June, our team would like to provide tips to help our patients understand dental insurance and ensure they maximize their insurance benefits and don’t miss out on important dental services throughout the year.

What Insurance Does Reyes Dental Group Take?

We are pleased to say that Reyes Dental Group is “in-network” with most PPO dental insurances, UNDER CONNECTION DENTAL. Some of those plans might include: including:

  • Aetna

  • Connection Dental

  • CareFirst

  • GEHA

  • Guardian

  • Humana

  • SunLife

Please contact our team if you have any other insurance and we can confirm the status of your benefits for our dental practice.

How Do I Find Out My Insurance Plan Benefits?

The best way to make informed dental health decisions is to be aware of your insurance benefits. You can contact your insurance company by phone to speak to a representative who will outline all your benefits, or sign up to their online portal to see your benefits there.

What Is Covered With Dental Insurance?

Typically with PPO insurance, preventative dental services such as exams, cleanings and X-rays are fully covered. Our team recommends knowing how many times per year you can have these treatments and ensure you use them all because maximizing your preventative care can reduce the need for bigger and more costly issues in the future. Other minor and major treatments will be covered at a certain percentage by your insurance company while the remainder will be paid for out-of-pocket.

Note that insurances may be different so it’s very important you know your own plan.

Other Dental Insurance Terminology You Should Understand

  1. Deductibles: Some dental insurance policies have deductibles — this is the amount you pay out-of-pocket before your insurance coverage kicks in. It’s important to keep track of your payments so you know when your insurance will begin paying.

  2. Exclusions: It’s important to note what services are not covered by your insurance — this usually includes cosmetic and orthodontic work.

  3. Waiting Period: Some dental coverage only begins after a certain period of time. Be aware if your insurance has this clause so you don’t encounter any unexpected costs.

  4. Annual Maximums: If your plan has an annual maximum that insurance will cover, you should note this so you can budget and schedule any non essential treatments accordingly.

  5. Payment Policy: Our team is happy to help submit claims to your insurer on your behalf but note that some insurers will only send payment directly to the policy holder. Therefore, we may ask that you pay at time of service and request to be directly reimbursed by your insurer.

Confusion and worry about your dental insurance should never delay you from visiting our Lorton dental practice. We want you to feel confident that our team of knowledgeable staff are able to answer any questions you may have about your dental insurance policy. We also recommend speaking directly to your insurance provider as they will have the most up to date information about your personal policy.

Make sure to use your insurance benefits before the end of the year otherwise you will lose them — most benefits don’t roll over! Also, we get very busy at the end of the year so we recommend that you don’t delay making your appointment.


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