MetLife Dental PPO insurance does not require pre-authorization of treatment for most dental services, but it is recommended for major services. Pre-authorization of treatment is not a guarantee of payment, but it is usually an accurate assessment of how the completed dental claim will be processed. What is the advantage of pre-authorizing treatment and how is it done?
The benefit of pre-authorization for dental treatment is that it lets you know in advance the amount that you can expect MetLife Dental PPO insurance to pay for your dental care, and the amount of your patient copay. Many patients find this information helpful when trying to maximize their coverage amount and plan the order of treatment.
Sunnyvale Dentist Dr. Antonious is a preferred provider for MetLife Dental PPO insurance. He has been in practice for many years. Once Dr. Antonious has completed your examination and presented your treatment plan, The Sunnyvale Dental Care insurance coordinator will submit this information to MetLife Dental PPO insurance for you. Depending on the treatment needed, they may require x-rays, photos, or other documentation. These will be submitted as well. It usually takes a couple of weeks to receive a response. You should receive a copy of the pre-treatment estimate or pre-authorization and one will be sent to Sunnyvale Dental Care. Once received, Sunnyvale Dentist Dr. Antonious can begin your treatment.
Most dental insurance policies give their members a maximum amount of money to use per year for dental care. The pre-authorization will state what your yearly maximum is. It will also show how much has been used and the amount that is still available for use. Insurance companies pay claims on a percentage basis. The pre-authorization will show the percentage of coverage for each item on your treatment plan. Finally, most dental insurance policies have an annual deductible. This information will also be included as well as whether or not the deductible has been paid.
This process may seem complicated, but don’t worry. Sunnyvale Dental Care will take care of the paperwork for you and help you get the most out of your MetLife Dental PPO insurance plan.