DenteMax PPO Dual Coverage
Having dental insurance from two sources is very common today. This is especially true in families where a couple or two parents are employed. Some people have two jobs that each offer dental insurance benefits. If this is your situation, Sunnyvale Dental Care will help you get the most benefit from your policies by researching your coverage and filing your claims in a timely manner.
The staff of Sunnyvale Dentist Dr. Antonious communicates daily with a variety of dental insurance carriers, including DenteMax PPO insurance. We will help you determine if DenteMax PPO insurance is your primary or secondary carrier based on guidelines set by the dental insurance industry. If your DenteMax PPO plan provides primary coverage, we will submit the claim for your completed treatment to them first. They will determine the coverage amount that you are eligible for and mail a payment to Sunnyvale Dental Care. We will immediately submit a secondary claim on your behalf and include the amount that was paid by DenteMax PPO insurance on the secondary claim. This will be used to determine the amount of the secondary payment.
Many insurance plans coordinate payments for their mutual patients using standard coordination of benefits. The amount that the primary insurance company doesn’t pay is picked up by the secondary insurance company. For many patients with dual coverage, there is little out of pocket expense for dental care. The exception would be if there is a non-duplication of benefits clause. Under this scenario if the primary and secondary insurance companies shared the same coverage percentage for a particular service, the primary insurance company would pay its portion and the secondary insurance company may pay nothing.
Sunnyvale Dentist Dr. Antonious is an in network PPO (Preferred Provider Organization) provider for DenteMax PPO insurance plans. This means additional savings for patients because Dr. Antonious only charges the amount allowed on the DenteMax fee schedule. Dr. Antonious has been serving the Sunnyvale community for over 22 years. He offers a variety of general, specialized, and cosmetic services for the entire family.