Insurance Benefits


Does my insurance cover all treatment costs?
Employers and other plan sponsors offer dental benefits for a variety of reasons, including promotion of oral health and attraction and retention of high-quality employees. Regardless of why the plan is offered, its intent is the same: to help individuals by paying for a portion of the cost of their dental care. Almost all dental benefit plans are the result of a contract between the plan sponsor (usually an employer or a union) and the third party (usually an insurance company). This contract is updated on a yearly basis so the terms of the contract may also change. The contract includes the number of times x-rays can be taken, the number of cleanings allowed per year etc.. Limitations in coverage are the result of the financial commitment the plan sponsor has agreed to make and the benefits the third-party payer will offer in exchange for that commitment. Insurance is considered a benefit to offset costs for dental treatment, however it doesn't cover all procedures nor 100% of costs. For this reason, concerns about your dental plan should first be directed to the human resources dept of the policy holder.



If I have a DMO, why do I have to call my insurance company prior to making an appt. at Aesthetic Dental?
A DMO is a capitated plan. The dentist is required to see patients on a roster the office receives every month. Because of this, the patient must choose Aesthetic Dental before they can make an appointment with us so their name appears on our roster.