How Does Orthodontic Insurance Work?
As a standard rule, Orthodontic Coverage is a special coverage that may or may not be included with your Dental Plan. It is usually a separate benefit to the General Dentistry coverage and the benefits are typical to be 50% of cost UP TO a Lifetime Max. Each plan max is different and can be as little as $500 up to as much as $3000 (in our year’s of experience this is what we’ve seen.)
Some key points I like to explain to patients who may be considering getting orthodontic insurance is to make sure the BENEFIT outweighs the COST…meaning: insurance for a specific purpose such as orthodontic may require a set amount of time BEFORE benefits kick in (verify if there is a WAITING PERIOD) to determine if the plan cost $$ x the number of months needed to get the benefit = or is LESS THAN the actual benefit that would be received. In most cases, orthodontic treatment could be held off starting until insurance benefits would kick-in, but there are some instances that waiting on treatment could extend the amount / type of treatment otherwise. CONSULT with your orthodontist first to decide what you need to do for the most benefit of the patient.
Treatment Cost – Insurance = Patient Balance which we are happy to make an arrangement with you for the payment of the balance. Our Outside Office Plans include: Springstone, Care Credit and if neither of those will work for your budget then we do have an In-Office Plan.
We accept most major insurance plans and are happy to check your benefits level at our FREE Consultation. If you have specific questions, feel free to give us a call at 513-229-3100.
October 23rd, 2008 at 8:29 pm
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May 8th, 2010 at 12:37 am
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