dentist in fairfield ct

Fairfield Smiles by Design | Dentist in Fairfield, CT

It’s that time of the year when you start planning for the upcoming holiday season and wrapping up your annual to-do list. While you’re busy with all these preparations, one thing you might overlook is your dental insurance benefits. If you’re a policyholder, it’s essential to make the most of your dental insurance before it expires. Our dental practice believes in promoting optimal oral health and ensuring you don’t let your hard-earned insurance benefits go to waste.


Understanding Your Dental Benefits

Before we dive into why it’s crucial to use your dental insurance benefits, let’s take a moment to understand what dental benefits entail. Dental benefits are the treatments and services you receive as part of your dental insurance policy. These benefits are designed to support and maintain your oral health.


What Does Dental Insurance Cover?

Typically, dental insurance plans cover a range of dental treatments, which may include:


  1. Preventive care, such as regular dental cleanings and check-ups.
  2. Restorative treatments like fillings, root canals, and crowns.
  3. Oral surgery procedures.
  4. Orthodontic treatments like braces, Invisalign, and bridges.


However, it’s important to note that some elective or cosmetic treatments, like teeth whitening or purely aesthetic crowns, may not be covered by your insurance plan.


Understanding Your Maximum Benefit

When you pay your monthly premium for dental insurance, you’re purchasing coverage up to a specific limit known as your annual maximum. Once the year ends, this maximum resets and you start from scratch. Any unused benefits from the previous year do not roll over, which means you lose any unused funds. This situation benefits the insurance company while being a loss for you.


To prevent this loss, it’s crucial to schedule and attend your regular dental check-ups. These check-ups not only help maintain your oral health but also ensure you get the most out of your insurance benefits.


Understanding Your Insurance Deductible

Your insurance deductible is the amount you must pay out of your pocket before your insurance coverage kicks in. The specific deductible amount can vary from one insurance plan to another.

Most insurance plans follow a 100-80-50 structure, specifying the insurer’s contribution to different dental services. Preventive care, for instance, may be covered at 100%, basic treatments at 80%, and major dental procedures at 50%. Understanding this structure helps you plan your dental care effectively.


100% Dental Coverage on Preventive Dental Procedures

One of the best features of dental insurance is that it encourages preventive care. Most dental insurance plans cover 100% of the cost for the following preventive procedures, and these can be performed up to two times a year:


  1. Regular professional teeth cleaning: A bi-annual cleaning can help prevent cavities and keep your oral health in excellent condition.
  2. Dental examination: Dental exams are more than just checking for cavities. Your dentist will inspect your soft tissues, looking for any signs of oral cancer. They will also examine your thyroid, lymph nodes, and jaw joints.
  3. Dental X-rays: X-rays are invaluable for revealing problems that might not be visible to the naked eye. They can help detect small cavities between teeth and identify abscessed teeth, which may otherwise go unnoticed.


Taking advantage of these preventive measures is a win-win. It helps maintain your oral health while maximizing your insurance benefits.


Visit Your Dentist in Fairfield, CT, Before Your Benefits Expire

We encourage you to make the most of your dental insurance benefits before the year ends. Visit Fairfield Smiles by Design, your dentist in Fairfield, CT, led by Dr. Pablo Cuevas, to ensure you utilize your maximum dental insurance benefits effectively. Our experienced team is here to help you maintain a healthy, beautiful smile and get the most out of your dental insurance. Please don’t wait until it’s too late; schedule your appointment today and ensure that you don’t lose out on your insurance benefits. Your oral health is an investment worth making.