Archive for the ‘Insurance’ Category

Dental implants and dental insurance

Tuesday, July 28th, 2009

It’s looking like I may need dental implants. But they’re kind of expensive. Will dental insurance help pay for them?
- Gary from Pennsylvania

Gary,
Most dental insurance plans will provide coverage for dental implants, but not much coverage. Their interests are different from your interests. Your interests are to have a restoration that will prevent your jaw from shrinking because of missing teeth, and providing the maximum comfort and function for yourself. Their interest is in saving money and increasing their profitability, which is understandable. So they will usually pay a percentage based on the least expensive option for replacing missing teeth, which is generally a removable appliance. Removable appliances are the most uncomfortable dental restoration, but they consider that your problem, not theirs.

Related links:
Read about the pros and cons of dental implants vs removable partials
Dr. Goldstein discusses the options for replacing missing teeth

Can I get dental insurance to help pay for Lumineers?

Thursday, February 21st, 2008

I am trying to find cosmetic dental plan that will help me pay for Lumineers. How can I do this?
- Jan

Dear Jan,
If you think through what you’re asking, I think you’ll realize that you want something that isn’t going to happen.

What you want to find is a dental insurance company who will sell you a dental policy, and let’s use a number to help you understand it, let’s say that it costs you $300 a month or $3600 per year. Now you want to get a new smile with Lumineers that will cost $6000 to $15,000, and you want them to help pay for it, so that it doesn’t cost you so much. You can see that the dental insurance company isn’t going to make any money on this deal, so they’re not going to sell you a plan like this. If you ran the insurance company, would you sell a policy on these terms?

Dental insurance makes sense when your employer pays it, because they’re paying for it with before-tax dollars, so it represents a tax savings. But buying it yourself rarely makes sense. Dental expenses are generally reasonably predictable and are rarely of the sort that will wipe out someone’s life savings. So when you realize that the insurance company needs to collect more in premiums than they pay in benefits, you can see that it probably isn’t going to make sense to buy a private dental insurance plan. Medical insurance is different, because you can face life-threatening diseases and astronomical doctor and hospital costs for certain medical problems. Most people will lose money on medical insurance, but you need it to protect yourself against catastrophic loss.

But even with employer-paid dental insurance, they usually exclude cosmetic procedures because they’re elective.

We hope this is helpful.

Related information:
Cost of porcelain veneers
Cost of Lumineers

Out of Network Dentist

Thursday, October 18th, 2007

I want to come to Dr. Goldstein, but he is not listed in my insurance network. What should I do?  

- thank you, Alison

Alison,
Your insurance company has made provisions for a specific amount of help for an out of network dentist; so, you will certainly get the coverage you have been paying for. I’d like to remind you that dental insurance is simply a contribution to your dental bills – whether you use an in or out of network dentist. Dental insurance was never designed to pay the entire amount. Unlike medical insurance, dental insurance has an annual cap of approximately $1000 and a lot of restrictions designed to discourage you from getting the care you have chosen. We certainly hope you feel the small difference is minor and that choosing Dr. Goldstein is a wise decision; in many cases it makes sense to handle that difference if you feel the quality of care you are receiving is substantial. Hope this helps.

Click here to make an appointment with Dr. Goldstein.