Understanding your Dental Benefits

Use them or lose them!

This information will surprise you, but millions of people each year are ringing in the New Year leaving money on the table. According to the National Association of Dental Plans, only 2.8% of people with PPO dental plan participants reached or exceeded their plans annual maximum. Many people also have Flexible Spending Accounts, which help pay for dental and medical care with pre-tax dollars.

Whether you’re paying for dental care through a benefits plan or using an FSA, your current plans will most likely run out on December 31. Don’t let your hard-earned dental dollars go to waste. Here is a breakdown of what these benefits are, when you need to use them by and how to make the most of your benefits.

Tips for Making the Most of Your Plan

The key with this type of coverage is to take advantage of any benefits before they expire for the year.

  • Prevention is better than cure both for your health as well as your pocketbook. Most plans typically pay 100% for preventive visits, so if you have not had one yet, this may be a good time to schedule one. 
  • Start thinking about using your coverage early. During a dental appointment that’s over the summer or in the fall, talk to your dentist about what your dental needs are and what treatment you might need before the end of the year. (For example, a back-to-school appointment is a great time to bring this up.) Make any upcoming appointments early so you can take care of them before the holidays.
  • Once you’ve determined what your dental needs are, work with your dentist and benefits provider to figure out what is covered. Often, your dentist’s office will look into this information for you. You can also call your plan using the 800 telephone number on your identification card, or go to their website for information.

Dental Benefit Plans

Many people with dental benefits get them through their employers, though individual plans are also available through Health Insurance Marketplaces established by the Affordable Care Act. Remember, when you buy a plan you and your employer are paying some premium – upfront dollars – that are wasted if you don’t see your dentist.

Source: American Dental Association