Nargiz I. Zadeh, DMD
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5 Things to Know to Maximize Yearly Dental Insurance Benefits

January 11, 2022
Posted By: Dr. Nargiz I. Zadeh, DMD

You may not realize it, but most dental insurance plans are set up to renew benefits at the beginning of the new year. If you haven’t used your benefits up, then you potentially miss out on having hundreds, if not thousands of dollars of dental care covered by insurance. To maximize these benefits, make sure you’ve had all your dental treatment completed or scheduled by the time November comes around. If you have unfinished treatment, or missed hygiene appointments, and insurance benefits remaining, then schedule with your Woodland Hills dentist before the annual insurance renewal date. Here are five things to consider if you want to maximize your dental insurance benefits each year:


1. Yearly Maximum
This defines the maximum amount of money the insurance provider will pay for dental treatment in a single year as specified by the policy. The maximum is paid for each person on the insurance plan and on average is $1,500. However, this amount can vary significantly per plan, with some plans paying as much as $30,000. It helps to track how much of your yearly maximum is remaining when you are nearing the plan reset date so you can try to use up remaining benefits.


2. Deductible
Deductibles require you to pay a specific sum out of pocket before your insurance begins paying your dental expenses. While health insurance deductibles can vary significantly, dental insurance plans usually have much smaller deductibles that run $50 on average per person. Some family insurance plans might even have a single deductible for the entire family. The deductible resets with the yearly maximum after a year. Therefore, it’s in your best interest to schedule necessary dental treatment once the deductible is met to maximize insurance coverage with the remaining yearly maximum benefits. Once the plan resets, you’ll have to pay the deductible again before treatment is covered.


Related post: 6 Reasons Why You Need In Office Dental Membership Plan


3.Plan Year”
In addition to knowing your plan’s maximum and deductible amounts, it’s important to know the reset date since there are two different time intervals—calendar year or plan year—specifying when the plan starts and ends. A calendar year, the most common interval, runs from January 1 to December 31 and resets at the beginning of the new year. A plan year runs from the policy start date until the renewal date in 12 months. For example, a plan that started on June 14, 2020 would run until June 13, 2021. 


4. Monthly Premiums
Generally, insurances require you to pay a monthly amount for the plan, which is called the premium. It makes sense to fully utilize your plan so you can get the most out of what you pay for. One of the easiest ways to maximize your benefits is by scheduling regular hygiene visits and any other routine care, which is typically covered almost at 100% by insurances.


Related posts: Dental PPO and HMO Insurance Plans: What's the Difference?


5. Delaying Treatment Creates More Problems
At the end of the day, you should always schedule necessary treatment as soon as possible to use your insurance benefits, and to prevent the problem from worsening and requiring more costly treatment. It’s best to habitually schedule routine dental treatment, but even more so when it’s the end of the year and your insurance plan is about to reset with unused benefits.


Schedule an Appointment Today
Has it been a while since your last dental visit? Then it’s time to schedule your appointment. Dr. Nargiz Zadeh is known as a dentist in Woodland Hills that provides exceptional dental care. She will perform a thorough oral examination to provide you with personalized treatment options catered to your specific medical, social, and financial situation. Get in touch with our office today for more information.


Testimonial from Amy, Satisfied Patient 
I was referred to Dr. Zadeh by someone I trust, and I am so pleased. The level of professionalism and caring is tough to find. The staff are warm and beyond competent and it's clear they want the best experience for their patients. i feel so lucky to have found them.