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Tag: dental insurance terms

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Know Your Coverage Part 2: 10 Common Dental Insurance Terms Explained

November 5, 2018.Individuals.#annual maximum

Our second installment of Know Your Coverage takes a quick look at dental benefits terms anyone can benefit from understanding. We cover some of the most important aspects of your coverage such as plan maximums, network coverage, preventive care and more. Read Know Your Coverage Part 1 here. 1. Annual maximum: The maximum amount your plan will pay for dental procedures during an annual period. Once you reach the maximum, you’ll be solely responsible for additional dental fees.1 TruAssure’s Choice and Choice Plus plans offer flexibility and allow you to choose your annual maximum. 2. Basic services: Services needed to treat common dental conditions such as fillings and extractions. The cost for these services varies depending on your plan.2 3.  In-network: Visiting an in-network dentist is one of the primary ways to save when it comes to dental care. In-network dentists have been certified by your benefits carrier and have agreed to […]

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Know Your Coverage Part 1: 10 Common Dental Insurance Terms Explained

October 16, 2018.Individuals.#claim

You might have heard these words and phrases before, but if you aren’t sure what they mean, you could be misunderstanding what your dental benefits plan covers. Brush up on your dental insurance knowledge to ensure you’re ready to make informed decisions next time you come across these terms 1. Claim: A form requesting payment that is sent to your benefits carrier by you or your dentist after a procedure based on your benefits plan. In-network dental offices usually submit them for you, but you might have to send the form yourself if you seek care from an out-of-network dentist.1 2. Claim appeal: If your benefits carrier rejects a claim, you have the opportunity to state your case as to why the procedure should be covered. This takes the form of a “claim appeal” that your dentist will send to the benefits carrier.2 3. Co-insurance: The percentage of the cost […]

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