Preventive Care
Depending on the plan, preventive benefits may include routine exams, cleanings and certain X-rays. Frequency limits and network rules can apply.
Great Nation Insurance can help individuals and families compare the dental insurance options we offer. We help explain preventive, basic and major dental benefits, deductibles, annual maximums, waiting periods and provider-network considerations so you can better understand how a plan works before enrolling.
Dental plans vary by insurance company and plan. Benefits are commonly grouped into categories such as preventive, basic and major services, with different cost-sharing rules for each category.
Depending on the plan, preventive benefits may include routine exams, cleanings and certain X-rays. Frequency limits and network rules can apply.
Plans may provide benefits for eligible services such as fillings, simple extractions or other basic procedures, subject to the plan's cost sharing and limitations.
Some plans include benefits for services such as crowns, bridges, dentures or other major procedures. Waiting periods, coinsurance and annual maximums may apply.
Depending on the plan, benefits may be available for services such as root canals, periodontal treatment, implants or orthodontia. These benefits are not included in every plan.
The amount paid to keep the dental insurance policy in force.
The amount you may need to pay for covered services before certain plan benefits begin, depending on the policy.
Your share of the cost for covered dental services after applicable plan requirements are met.
Many dental plans limit how much the plan will pay toward covered dental services during a benefit year. The amount and services counted toward it vary by plan.
Some dental plans require you to be enrolled for a specified period before benefits are available for certain basic or major services. Preventive care may have different rules. Waiting periods vary by insurer and plan, and some products may waive certain waiting periods under qualifying circumstances.
If you expect dental work soon, reviewing the effective date, waiting periods and benefit limitations is especially important before selecting a plan.
Some dental plans use provider networks. Using an in-network dentist may provide negotiated rates or different cost sharing than using an out-of-network provider. Other dental products may provide more flexibility in choosing a dentist.
If keeping your current dentist is important, verify that dentist's participation directly with the plan and provider before enrolling or receiving services, because network participation can change.
Original Medicare generally does not cover most routine dental care. Some Medicare Advantage plans may include dental benefits, but benefits, provider networks, maximums and covered services vary by plan.
A separate individual dental policy may be an option for people who want dental coverage beyond what they currently have. Great Nation Insurance can help explain the dental products we offer separately from your medical or Medicare coverage.
Check the plan's current provider directory and confirm participation with the dental office.
Review when preventive, basic and major benefits become available.
Understand the maximum amount the plan may pay for covered services during the applicable benefit period.
Review exclusions, frequency limits, missing-tooth provisions and other policy-specific restrictions.
Many dental plans include preventive benefits for eligible cleanings and exams, but frequency limits, network requirements and cost sharing vary by plan.
Some plans provide benefits for major dental services such as crowns or dentures. Waiting periods, coinsurance, annual maximums and other limitations can apply.
Some plans may include implant benefits, while others exclude or limit them. Review the specific policy before relying on implant coverage.
Individual dental insurance may be available as separate coverage. Eligibility, benefits and availability depend on the insurance company and product.
Yes. We can help explain and compare the dental insurance options we offer, including benefits, networks, waiting periods, deductibles and annual maximums.
Tell us how to reach you and Great Nation Insurance can contact you to discuss the dental insurance options we offer.
Dental insurance benefits, networks, waiting periods, deductibles, coinsurance, annual maximums, exclusions, eligibility and availability vary by insurance company and plan. This page provides general educational information and does not modify or replace any insurance contract. Review the applicable policy and carrier materials for complete terms, exclusions and limitations.
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Depending on the plan, dental insurance may provide benefits for preventive, basic and major dental services. Deductibles, waiting periods, annual maximums and provider networks can vary.
Some plans have waiting periods for certain services while others may not. Review the specific plan's effective dates and limitations before enrolling.
No. Network participation varies by plan, so it is important to verify whether your preferred dentist participates before choosing coverage.
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