Dental insurance plans can be difficult to navigate due to varying coverage, but fortunately, our Stone Street Dental team members are experts at maximizing benefits and filing claims. We’re also happy to help by answering any questions you may have about your plan. Below, we’ve outlined some basics about dental insurance in Greenville to get you started. If you have more specific questions about coverage, it may be best to contact your insurance provider directly.
Understanding How Dental Insurance Works
Dental insurance is primarily designed to keep patients on top of their oral health by preventing serious issues from arising instead of treating them when they develop. This is why it’s best to keep up with your preventive dental visits to keep your smile healthy. In addition to this, there are certain phrases that you’ll often hear whenever speaking to an insurance coordinator or to your insurance company, like maximum and deductible. The maximum is a capped-off amount of money that your insurance company will agree to pay out over the course of a calendar year, while the deductible is a set amount of money that you’ll need to pay out-of-pocket before you receive coverage.
What Does Your Dental Insurance Plan Cover?
It’s important to keep in mind that dental insurance coverage can vary drastically from plan to plan, so if you’re wondering whether a specific treatment will receive benefits, it’s best to contact your insurance company directly. That being said, dental insurance companies often use 100-80-50 structures to determine coverage. This means that they cover 100 percent of checkups and cleanings, 80 percent of basic treatments, and 50 percent of more invasive services.
Find out if your checkup & cleaning is covered.
Find out if your checkup & cleaning is covered.
We Offer In-Network Savings & Welcome Out-Of-Network Providers
Our dental office is in-network with most major PPO policies offered in our area. This means that we’ve negotiated discounted rates and fees with the insurance companies to minimize out-of-pocket costs for our patients. We also welcome out-of-network plans and will do everything possible to maximize your benefits.
- Ameritas
- Blue Cross Blue Shield
- Cigna
- Delta Dental
- MetLife
- TriCare Dental Program
If you have questions about your specific plan or coverage, our team is here to help. We’ll provide clear explanations of your benefits, out-of-pocket costs, and treatment options before any work begins, ensuring you’re fully informed and confident in your care decisions.
Call our Greenville, TX office or ask about insurance coverage at your next appointment. We’re here to make dental care accessible and affordable.