Dental Insurance Coverage at Our Metarie Office

Maximizing Your Benefits

At Nelson Dental Care, we encourage patients to visit our office for six month dental exams in order to keep teeth healthy and avoid large fees for more advanced dentistry services. This is also the best way to maximize your dental benefits. The majority of dental insurance plans cover 80 to 100% of the cost of preventive maintenance services, compared with just 50 to 80% coverage for restorative services. By partnering with our Metairie dentist and dental care team to keep your smile healthy, you can also minimize out of pocket treatment costs and maximize your benefits.

Typically Covered Dental Services

Every dental insurance plan is unique to the patient, so we’ll need to review your unique policy before offering accurate estimates of your coverage. Insurance plans outline a certain percentage of the cost of dental care covered by your insurer in exchange for the payment of a monthly plan premium. While each plan will vary, you can usually expect to receive some combination of the following insurance benefits:

• 80 to 100% coverage for preventive dentistry
• 50 to 80% coverage for restorative dentistry
• 20 to 70% coverage for orthodontics (when elected)
• 10 to 50% coverage for miscellaneous treatments like mouthguards and dental sedation (when elected)

In-Network VS Out of Network Dental Care

If you have an HMO dental insurance policy, you will likely have firm restrictions on what dental practices you can visit and which dentistry services will receive coverage. Unfortunately, our Metairie dental office is not in-network with any HMO plans. However, we do offer in-network insurance coverage for a number of PPO benefit plans. PPO plans allow you more flexibility, so you will receive some coverage at most dental offices. Visiting an in-network office just makes it easier to ensure you’re receiving the maximum amount of coverage and minimal out of pocket costs. Your insurer provides a percentage of the cost of specific treatments up to a price they consider to be fair for your area. In-network dentists know these costs and agree to charge fees that fit within this price range. Out of network dentists may have fees higher than those deemed fair by your insurer, but you’ll need to make up the difference out of pocket. Typically, the difference in pricing is minimal, but visiting an in-network dentist removes this added stress.

• Aetna
• Humana
• Assurant
• Cigna
• Delta Dental
• MetLife
• Many More!