4 Tips For Making The Most Of Your Dental Insurance

If you have dental insurance in Oak Creek, you may be wondering how to get the most from your policy when you visit Dr. Saleki at Oak Creek Dental Care. Here are a few top tips and suggestions from our team! 

1. See An In-Network Dentist

You’ll pay less for dental care when you choose an in-network dentist, since most dental plans are PPOs. At Oak Creek Dental Care, we accept a wide variety of insurances. This includes Guardian, Anthem, Aetna, Humana, and MetLife, to name just a few. Call now at (414) 762-9010 to see if we work with your insurer!

2. Know The 100-80-50 Coverage Scheme & Get Regular Preventive Care

Most, though not all, dental plans use a 100-80-50 coverage scheme for your dental care. This means that your insurer will pay for:

  • 100% of the cost of preventive care like twice-yearly teeth cleanings and oral exams
  • 80% of the cost of basic dental work like fillings and root canals
  • 50% of the cost of major dental work like dentures, dental bridges, and dental crowns

Because 100% of the cost of preventive care is covered, it’s a good idea to come to Oak Creek Dental Care for two appointments with Dr. Saleki each year. Not only will you maximize your benefits, but you will reduce your risk of oral health issues like gum disease and tooth decay, which can be expensive to treat. 

3. Plan Around Your Deductible & Annual Maximum

Your dental plan will have a yearly deductible, which is usually between $25 and $250. Once you reach this deductible, your plan will begin paying out toward your dental care. So if you need a few fillings, it may be a good idea to get them all at once so that you reach your deductible and get the most from your dental plan.

Your plan also has an annual maximum, though, which means there’s a limit on how much it will pay for treatment during each year. This usually resets on January 1st, and is between $1,000 and $2,000.

In some situations, you can take advantage of this. For example, if you need some fillings and a non-urgent crown, you could get your fillings in December of one year, then get your crown in early January of the following year. This ensures you don’t exceed your yearly maximum, and helps you keep costs under control. 

4. Know Your Options If You Don’t Have Insurance 

If you’re uninsured, you can still get excellent care for a reasonable price at Oak Creek Dental Care. We offer a $129 New Patient Special to get you started, which includes a checkup, cleaning, and x-rays.

We also offer a Platinum Plan membership, which lasts for 12 months and gives you two cleanings and oral exams per year, two fluoride treatments, all necessary x-rays and a 20% discount on all other services. This is a great alternative if you are uninsured. 

Contact Oak Creek Dental Care To Learn More And Get Started Today 

Dr. Ehsan Saleki can provide you with expert dental care in Oak Creek and make sure your treatment fits your budget, regardless of your insurance status. So don’t wait. Contact us online or call at (414) 762-9010 to learn more and schedule your first appointment right away.

ready to schedule an appointment? contact us today!

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