While your dental insurance plan may state that routine exams and certain procedures are "covered at 100 percent," this statement requires some clarification to avoid unexpected costs.
When insurance companies indicate 100 percent coverage, they typically mean they'll pay 100 percent of their allowed amount for that procedure—not necessarily 100 percent of the actual fee charged by West Augusta Dental Associates. Since we're out-of-network with many insurance plans, there may be a difference between our fee and what your insurance considers their "allowed" amount.
Understanding Insurance Limitations
Additionally, insurance plans often have limitations that affect coverage, even for "100 percent covered" services. These may include:
- Annual frequency limitations (such as covering only two exams per year)
- Deductibles that must be met before coverage applies
- Waiting periods for new policyholders
- Exclusions for certain types of exams or related services
Our team at West Augusta Dental Associates will help you understand your specific coverage before treatment and submit all necessary documentation to maximize your benefits. We can provide pre-treatment estimates to help you anticipate any potential out-of-pocket expenses.
Contact Your Dentist in Augusta, GA
For questions about how your specific insurance plan works with our practice or to verify coverage before your appointment, please contact our dental office at (706) 738-8070. We're committed to helping you navigate your dental benefits while receiving quality care.
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