{"id":32,"date":"2022-10-09T20:16:00","date_gmt":"2022-10-09T20:16:00","guid":{"rendered":"https:\/\/www.granddentalsycamore.com\/blog\/?p=32"},"modified":"2022-10-26T20:33:22","modified_gmt":"2022-10-26T20:33:22","slug":"dental-insurance-and-what-is-covered-vs-not-covered","status":"publish","type":"post","link":"https:\/\/www.granddentalsycamore.com\/blog\/2022\/10\/09\/dental-insurance-and-what-is-covered-vs-not-covered\/","title":{"rendered":"What Does Dental Insurance Agree to Cover?"},"content":{"rendered":"<div class=\"wp-block-image\">\n<figure class=\"alignleft size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.granddentalsycamore.com\/blog\/wp-content\/uploads\/2022\/10\/AdobeStock_260717742__1666815362_38398.jpg\" alt=\"dental insurance key on keyboard\" class=\"wp-image-33\" width=\"303\" height=\"216\" srcset=\"https:\/\/www.granddentalsycamore.com\/blog\/wp-content\/uploads\/2022\/10\/AdobeStock_260717742__1666815362_38398.jpg 800w, https:\/\/www.granddentalsycamore.com\/blog\/wp-content\/uploads\/2022\/10\/AdobeStock_260717742__1666815362_38398-300x214.jpg 300w, https:\/\/www.granddentalsycamore.com\/blog\/wp-content\/uploads\/2022\/10\/AdobeStock_260717742__1666815362_38398-768x548.jpg 768w\" sizes=\"(max-width: 303px) 100vw, 303px\" \/><\/figure><\/div>\n\n\n<p>The coverage levels of a <a href=\"https:\/\/www.granddentalsycamore.com\/dental-insurance.html\">dental insurance<\/a> plan look familiar when compared side-by-side. However, each company determines which services fall into the categories of minor or major. Being able to clearly understand the details of a particular plan requires knowing the verbiage as well as how to navigate the claims filing process. For most people, it can be convoluted and overwhelming. This is why many dental offices employ professionals who can assist with such components. Learn what insurers will agree to pay for versus what they will deny, as this will allow for better preparation when faced with treatment.&nbsp;&nbsp;<\/p>\n\n\n\n<!--more-->\n\n\n\n<h2 class=\"wp-block-heading\">Preventive and Restorative Care<\/h2>\n\n\n\n<p>The two most pivotal components of any dental insurance plan are preventive and restorative care. These two umbrella categories house a multitude of services that most dental insurance companies agree to cover. The typical breakdown of benefits includes 100% for preventive care, 80% for minor restorative care, and 50% for major restorative care.<\/p>\n\n\n\n<p>This means patients can expect their general checkups and cleanings as well as X-rays to be covered at no cost to the individual. The reason for this generosity on behalf of the dental insurance company is that it not only allows patients to enjoy better oral health year after year, but it also minimizes the chances of serious oral health issues occurring. If a cavity or injury occurs, patients will require more from the insurance company, resulting in their need to cover more of the bill.<\/p>\n\n\n\n<p>Restorative care is part of the agreed-upon format, providing patients with access to financial help for dental fillings, for crowns, for bridges, for root canals, and even for tooth extractions. But the only way to take advantage of the benefits provided by an insurer is for the individual to have met their deductible and have remaining funds within their annual maximum.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Cosmetic Dentistry \u2013 Why It\u2019s Not Covered<\/h2>\n\n\n\n<p>As much as patients would like to have veneers, teeth whitening, gum recontouring, and other cosmetic services covered by dental insurance, it is simply not possible. These are deemed elective procedures, so they are not medically necessary. Because they cannot be used to improve the state of a person\u2019s oral health, dental insurance companies will not agree to pay. This requires patients to then find alternative solutions with regard to payment. Flexible financing and in-house membership plans are just two options patients can turn to when looking to improve the aesthetics of their smiles.<\/p>\n\n\n\n<p>Using dental insurance is one of the most effective and beneficial ways to get the care needed without depleting one\u2019s savings account. When used correctly, it can significantly lower costs and keep pockets full. Dental team members are available to assist should questions arise about benefits coverage and how it is best used to improve a person\u2019s oral health.<\/p>\n\n\n\n<p><strong>About Grand Dental &#8211; Sycamore<br><\/strong>At Grand Dental \u2013 Sycamore, we provide fully personalized, comprehensive dental care with the help of our talented team of dental specialists. We are pleased to work with patients of all ages, and we\u2019re here to ensure individuals pay the least amount when visiting our office. Visit our <a href=\"https:\/\/www.granddentalsycamore.com\/contact.html\">website<\/a> or call <strong>(815) 240-8660 <\/strong>to learn how we can help maximize dental insurance benefits and lower out-of-pocket expenses.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The coverage levels of a dental insurance plan look familiar when compared side-by-side. However, each company determines which services fall into the categories of minor or major. Being able to clearly understand the details of a particular plan requires knowing the verbiage as well as how to navigate the claims filing process. For most people, [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Dental Insurance | Covered | Grand Dental Group - Sycamore<\/title>\n<meta name=\"description\" content=\"Unsure what dental insurance covers? A local dentist explains what to expect when attempting to avoid high-pocket costs for treatment.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.granddentalsycamore.com\/blog\/2022\/10\/09\/dental-insurance-and-what-is-covered-vs-not-covered\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dental Insurance | Covered | Grand Dental Group - Sycamore\" \/>\n<meta property=\"og:description\" content=\"Unsure what dental insurance covers? A local dentist explains what to expect when attempting to avoid high-pocket costs for treatment.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.granddentalsycamore.com\/blog\/2022\/10\/09\/dental-insurance-and-what-is-covered-vs-not-covered\/\" \/>\n<meta property=\"og:site_name\" content=\"Grand Dental - Sycamore Blog\" \/>\n<meta property=\"article:published_time\" content=\"2022-10-09T20:16:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-10-26T20:33:22+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.granddentalsycamore.com\/blog\/wp-content\/uploads\/2022\/10\/AdobeStock_260717742__1666815362_38398.jpg\" \/>\n<meta name=\"author\" content=\"grandsycamore\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"grandsycamore\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.granddentalsycamore.com\/blog\/2022\/10\/09\/dental-insurance-and-what-is-covered-vs-not-covered\/\",\"url\":\"https:\/\/www.granddentalsycamore.com\/blog\/2022\/10\/09\/dental-insurance-and-what-is-covered-vs-not-covered\/\",\"name\":\"Dental Insurance | Covered | Grand Dental Group - Sycamore\",\"isPartOf\":{\"@id\":\"https:\/\/www.granddentalsycamore.com\/blog\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.granddentalsycamore.com\/blog\/2022\/10\/09\/dental-insurance-and-what-is-covered-vs-not-covered\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.granddentalsycamore.com\/blog\/2022\/10\/09\/dental-insurance-and-what-is-covered-vs-not-covered\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.granddentalsycamore.com\/blog\/wp-content\/uploads\/2022\/10\/AdobeStock_260717742__1666815362_38398.jpg\",\"datePublished\":\"2022-10-09T20:16:00+00:00\",\"dateModified\":\"2022-10-26T20:33:22+00:00\",\"author\":{\"@id\":\"https:\/\/www.granddentalsycamore.com\/blog\/#\/schema\/person\/e6317261ebbfde7332af862a4ab8b01f\"},\"description\":\"Unsure what dental insurance covers? 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