Knowing what is covered, when, and how can be the difference between being able to handle dental costs and facing large unexpected bills.
Every dental plan has basic features concerning procedures and fees.
The main features that are important to understand are co-payments, exclusions, and limitations. To help answer questions you may have about your dental plan, below is a list of the more common restrictions. For details and answers about your specific dental plan make an appointment to discuss your plan with your benefit provider. What is considered usual, customary, and reasonable is set by the dental plan. If your dentist charges in excess of what the plan has determined to be the customary fee, then your benefit shifts to covering a percentage of the procedure and not the entire amount.