DenteMax PPO Maximum and Deductible
Working hand in hand with your Dentemax Dental Insurance provider, Sunnyvale Dentist, Dr. Antonious and his highly trained staff thrive to maximize your dental benefits to reach optimum oral health outcomes. Savvy understanding of your plan is a top priority here at Sunnyvale Dental Care. We take pride in helping to educate you regarding these benefits.
Dentemax dental insurance plans, based on the tier chosen by you or your employer, will have different plan maximums. This is the total dollar amount allowed for you to apply toward dental care in a benefit period. 12 consecutive months or one calendar year are the average benefit periods. Annual Maximums renew on your insurance plan contract renewal date. Dentemax plan maximums typically range from $2500 on the higher end to $1000on the lower end per benefit period. Knowing that certain treatments, such as elective and cosmetic procedures are not covered and therefore do not deduct from your maximum is important to planning properly. In addition, a percentage of payout is outlined for varying degrees of care and affects your maximum accordingly. For example, preventive care such as cleanings are often covered at 100%, but basic restorative might be covered at 80% and major treatments like crowns and root canals might carry 50% coverage by Dentemax. Knowing these parameters is vital to maximizing your dental insurance benefits.
The term “deductible” refers to a portion of the cost of dental care that needs to be paid by you before your Dentemax dental insurance benefits will take effect. Deductibles do not apply to all treatments and will only need to be paid once per benefit period. As the plan renews, the deductible requirement will also renew.
Due to the variety of dental plans out there, clear understanding of your benefits is vital for reaching your best oral health. Sunnyvale Dentist, Dr. Antonious is acutely aware of how dental insurance benefits can affect treatment planning and he and his team here at Sunnyvale Dental Care are committed to making sure your plans benefits are maximized.