Each Blue Cross / Blue Shield PPO dental insurance plan covers all or portions of a wide variety of dental treatment. Although there are variations in each plan, they all contain annual maximums, deductibles, and cover a percentage of covered services. There are three types of dental services: Major, Basic and Preventative.
Major restorative services typically are the most expensive and have the lowest coverage. These include crowns, bridges, and dentures. Major restorative services are frequently covered at 50%.
Basic restorative services have moderate coverage between 60% and 80%. Simple extractions and silver amalgam and bonded composite resin fillings are examples of basic restorations.
Preventative diagnostic services will hopefully educate patients and prevent the need for basic and major services. They are usually covered from 80% to 100% and include basic cleanings, x-rays, examinations, sealants, and fluoride application.
Oral Surgery, root canal therapy, and periodontal deep cleanings are also covered services under most plans. The Sunnyvale Dental Care insurance coordinator will be glad to research the details of your individual plan.
Some plans, particularly non-employer sponsored individual plans may have waiting periods for certain services. Examples include a one year waiting period for major treatment or a six month waiting period for basic treatment.
Some procedures also have age limitations such as orthodontics, sealants, and fluoride or an age cap for covered dependent children. Receiving dental care from a Blue Cross / Blue Shield PPO in network dentist, like Sunnyvale Dentist Dr. Gupta, will allow you to maximize your annual dental benefits. The insurance coordinator at Sunnyvale Dental Care will verify coverage and submit your dental claims on your behalf.