For most patients, dental benefits renew each January, while others renew on an enrollment date or fiscal year. Studies have shown under 3% of PPO dental plan members use all of their allotted benefits each year. This could mean thousands of wasted hard-earned dollars per family.
Most traditional dental benefit plans have yearly maximums and specified coverage limits on procedures (100% coverage on cleanings, 80% on restorative treatment, etc.). Some plans have a deductible on larger treatments too.
Some employers offer a flexible spending account, or FSA, instead of or in addition to dental coverage to help offset deductibles and coverage limits. Each year, the employee specifies an amount of money to be put in the FSA account, which is usually accessible through a debit card. For example, if your dental insurance covers a root canal at 80%, the FSA account could be used to pay for the remaining 20% that would otherwise be an out of pocket expense.
But don’t wait until mid-December to schedule an appointment, because many dentists will be booked solid with patients trying to use up their plan benefits. If you haven’t been in recently, make an appointment or call the office and see if there’s any outstanding treatment in your record that could be done. Are you overdue for a cleaning? Do you have a filling that needs to be replaced? Now is a great time to start getting those appointments on the books.
Whether you have traditional dental coverage or an FSA account, here are some tips to maximize your dental benefits and reasons why you should use them before the new year.
Maybe you’ve been considering redoing an old crown that’s a shade too dark or want to replace those amalgam (silver) fillings with tooth-colored composite. Or perhaps you’ve been delaying a large treatment plan. Whatever the reason, you work hard for your money. Even if your dental coverage is paid by your employer, it’s still considered part of your salary. You wouldn’t throw part of your paycheck away, so why waste money by leaving needed treatment undone until it becomes a larger (and more expensive) problem? Use your benefits before the end of the year and make your mouth and pocketbook smile!
15 James St Suite 1,
Florham Park, NJ 07932
MON9:30 am - 5:30 pm
TUE - WED9:00 am - 6:30 pm
THUClosed
FRI9:00 am - 6:30 pm
SAT9:00 am - 2:00 pm
SUNClosed
comments