Insurance
Dental Insurance Providers That We Carry
At Palm City Family Dentists, we make every effort to present you with the best dental care at the most convenient financial options. We work with nearly all types of PPO insurance and accept most dental insurance plans including the following:
- Aetna PPO
- BC/BS of FL
- Careington
- Cigna PPO
- Connection/GEHA
- Dentemax
- Delta Dental PPO
- Florida Combined Life
- Guardian PPO
- Humana PPO
- Lincoln PPO
- Metlife PPO
- Principal PPO
- Solstice PPO
- United Healthcare PPO
We unfortunately Do Not accept HMO or Medicaid plans.
We do however, handle all the hard work for you by filing and submitting claims on your behalf for the treatment we provided. We’ll work side-by-side with you to ensure you will be able to maximize the reimbursement of your dental plan for the procedures it covers.
If you have any questions or problems you want to discuss, about using your dental insurance at our Palm City dental office do not hesitate to ask one of our friendly team members. They’re always up-to-date, knowledgeable, and more than happy to assist you. For questions about your coverage, you may directly contact your insurance provider for all necessary details. Rest assured that our team will lend you a helping hand at estimating any costs.
A Great Smile Deserves Only The Best Dental Insurance Plan
As the top dentist in Palm City, we want to help you get the most out of the benefits of your insurance while acquiring the lowest possible out-of-pocket expenses. We believe that your smile doesn’t have to put a dent in your bank account and deserves the best dental insurance plan. Plus, if you need urgent care, we offer same-day dentist appointments to ensure you’re taken care of promptly.
We know how challenging it is to find the perfect insurance for you and your family, but it’s essential to have the best dental care for your overall oral health. For this reason, we’re always here to look out for your best interests and keep things simple for you. We not only accept most dental insurance, but we’ll work hand-in-hand with you throughout the entire process.
Understanding Dental Health Insurance
The predetermination of values.
Some dental plans will encourage you or your dentist to present a treatment proposal to the administrator of the plan before you receive any treatment. When the plan administrator has reviewed it, he or she will determine your legibility, period of eligibility, your required co-payment, services covered, and maximum limitation.
On the other hand, some plans may require predetermination for any treatment that may exceed a certain dollar amount.
Limitations of your annual benefits.
Your dental insurance may restrict your benefits by dollar amount or the number of treatment or procedures in a given year to help contain its costs. In most cases, these conditions allow for sufficient coverage, especially if you’re undergoing preventive care regularly.
You need to know in advance how much and what your plan allows. This will help you and your dentist come up with a treatment plan which can minimize out-of-pocket costs while maximizing the benefits and compensation of your insurance plan.
Peer evaluation for determining dispute.
A lot of dental health insurance offers a peer review tool wherein any disputes between dentists, patients, and third parties can be settled. This will also eliminate plenty of expensive court cases.
The establishment of peer review allows for a thorough assessment of treatment procedures, records, and results. It also ensures individual case consideration and fairness. The resolution of the majority of disputes is agreeable for all concerned parties.
What You Need To Consider When Looking For A Dental Insurance
Aside from considering the insurance names we carry, here are the following things that can help you determine whether the coverage of the dental plans you’re reviewing can satisfy your dental care requirements:
- Does it present you the freedom to select your dentist, or does it limit your choice to insurance company’s selection of dentists?
- If there’s a panel restriction, does it include your dentist?
- Determine who has control over treatment decisions. Is it the dental plan or you and your dentist? Some insurance may ask your dentist to follow the cheapest alternative procedure approach.
- Does the insurance cover preventive, emergency, and diagnostic services? If yes, know its extent.
- Know the dental care coverage of the dental plan and the percentage of the costs you have to pay for these.
- You also need to learn about its routine treatment coverage as well as the out-of-pocket expenses.
- Does it support referrals to dental specialists? Will you and your dentist be able to select the specialist?
- What are the limitations of the plan for the benefits of a procedure or how many times does it cover a treatment? What are the excluded procedures?
- Will it allow you to see or schedule a dentist appointment at your most convenient time?
- Know who is eligible for coverage under the policy and when it’ll take effect.
Keep in mind that each plan and coverage of the insurance names we cover will vary depending on your contract negotiation. For questions, make sure to contact your insurance company to know the entire coverage of your plan. Also, our staff at Palm City Family Dentists are here to help you every step of the way, and all you have to do is ask. Contact us today if you have any questions, (772) 286- 8600.
