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Are You Wasting Your Dental Insurance? Tips to Maximise Your Benefits

by | Oct 9, 2024 | Dental Insurance

are you wasting your dental insurance

You’re paying for dental insurance—so why not get the most out of it? Dental insurance offers great coverage for maintaining oral health, but too many people leave their benefits unused.

Many dental insurance policies follow a “use it or lose it” policy, meaning any benefits not used by the end of the year vanish. But with some awareness and proactive planning, you can turn your dental insurance into a powerful tool that helps you stay healthy while saving money.

Let’s explore some often overlooked ways to ensure you’re squeezing every last drop of value from your dental insurance plan to avoid wasting the benefits you’re entitled to.

The Hidden Value of Preventive Care

It’s easy to ignore the importance of preventive care, especially when your teeth feel perfectly fine. But did you know most dental insurance plans fully cover preventive treatments like routine check-ups, cleanings, and X-rays?

These services are designed to catch problems before they become major (and more expensive) issues.

Regular check-ups don’t just clean your teeth; they allow your dentist to detect problems like gum disease, cavities, or even signs of oral cancer before they worsen. Many patients assume these visits are optional or can be delayed, but skipping your check-ups can cost you more in the long run.

Taking full advantage of these fully-covered preventive services protects your oral health and stretches your dental insurance dollars. It’s a win-win that keeps your smile healthy and your wallet happy.

Spread Out Major Treatments Over Time

Do you have multiple dental procedures you’ve been putting off?

Whether you need a crown, root canal, or some other type of restorative service, be advised that nearly all dental insurance plans have an annual spending limit, the total amount of money your insurance policy will lock in for all your treatments a year.

If you go beyond it, you will solely bear any other cost that accrues to you.

Rather than responding to an issue that has gotten worse or fitting in several treatments by year-end, it is better to stagger over two insurance periods. For instance, if you require a filling and crown, you can arrange one appointment at the end of this year and the other at the beginning of the following year.

This way, you won’t use up all the allowed dollars per year, and your out-of-pocket expenses will be less.

Timing Is Everything

Timing matters when using dental insurance effectively; it is common to wait until the end of the year to squeeze in treatments or check-ups.

However, this last-minute rush often results in limited availability at your dentist’s office or, in some cases, even the complete loss of your benefits.

Since it is arranged beforehand, preventive or corrective dental treatments can be done within the year without the stress of insurance deadlines.

Employers have until the end of the month to use their preventive benefits, and no one should miss that reasonable chance of getting checked up. It will help you do it earlier in the year and not at the end when too many people are applying for care, thus increasing your odds of noticing something that should be addressed before insurance benefits are renewed.

Don’t Underestimate the Power of In-Network Providers

One of the simplest ways to get the most value from your dental insurance is by using an in-network dentist. Because in-network providers and your insurance company have pre-negotiated rates, opting in-network will lower out-of-pocket costs.

Unfortunately, many people don’t realise how much they could save using in-network care.

If your current dentist is outside your insurance network, it might be worth checking if they offer any pricing or payment plan flexibility. Even if your insurance does not fully cover them, you could still find ways to make treatments more affordable.

Make Sure You Know Your Plan’s Fine Print

Many people aren’t totally clear about what their dental insurance plan covers, and this can be confusing. This can lead to missed opportunities to use your benefits for procedures or check-ups that might be covered or partially covered.

Take the time to read through your plan’s coverage details carefully. Some plans might cover more than you think, like orthodontic care, dental implants, or even emergency treatments.

Knowing your annual maximum, deductible, and what services are fully or partially covered helps you make smarter decisions about your dental care. The more you understand, the better equipped you are to ensure you’re getting the most out of your benefits.

Schedule Mid-Year Reviews With Your Dentist

For example, if you schedule a yearly physical with your doctor, consider scheduling a mid-year check-up with your dentist to examine your teeth and discuss your insurance benefits. Let your Leederville dentist know you want to maximise your insurance.

They can help you plan treatments based on your coverage and recommend the best time to undergo more costly procedures.

This collaborative approach ensures that you and your dentist are on the same page about your care and that your treatments align with your insurance plan.

If a major procedure is needed, your dentist might suggest breaking it into phases to maximise your insurance and avoid hitting your annual maximum.

Keep Your Insurance Deadlines in Mind

Every dental insurance plan has deadlines, whether it’s the calendar year for using your benefits or a cut-off for submitting claims.

Be aware of these deadlines so you can get reimbursed for treatments or use your benefits for preventive care.

If you haven’t made your final appointments for the year yet, now’s the time to get them on the calendar. As the year-end approaches, finding openings at dental offices becomes harder, and you don’t want to lose out on valuable benefits because of a full schedule.

Turn Your Dental Insurance Into a Smart Investment Today!

Dental insurance is a tool that can help you save money and maintain good dental health, not merely a safety net. However, the key to maximising your benefits is being proactive.

From regular check-ups to scheduling major treatments wisely, there are many ways to ensure you get the full value out of your plan.

Remember, dental insurance doesn’t do you good if you let it sit unused. Take control of your oral health and make your benefits work for you.

If it’s been a while since your last visit or you need help making the most of your coverage, we’re here to help.

Schedule your appointment today at Dentists on Vincent Leederville, and let’s work together to ensure you maximise your dental insurance benefits before the end of the year!

Call us at (08) 9242 4400 or visit us at 322 Vincent St in Leederville.

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  • We accept Eftpos, Mastercard, Visa Card, HICAPS and All Major Health Funds.

Contact Info

Dentists on Vincent Leederville

Address: 322 Vincent St, Leederville, WA 6007

Phone: (08) 9242 4400

Email: smile@dentistsonvincent.com.au

Opening Hours

Mon: Closed

Tue: 9:30 AM – 5:30 PM

Wed: 9:30 AM – 6:30 PM

Thu: 9:30 AM – 5:30 PM

Fri: 9:00 AM – 3:30 PM

Sat: 8:30 AM – 12:30 PM (by appointment)

Sun: Closed

PARKING/PUBLIC TRANSPORT

There is ample car parking across the road from the practice

There are cafes and eateries within walking distance

LOCATION

Dentists on Vincent is located in Leederville, 14 min from Northbridge and only short stroll from Leederville Oval and Water Corporation

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