Ok so I have an dentist appointment of Thursday for a regular check up, I havent been to the dentist in a couple of years (no more than 3) the dentist I use to go to closed or moved - so i’m going to a new dentist on Thurs. I have only asked for them to do a regular check up to see if I need my wisdom teeth extracted (which I will) and to see if I need any other work done (which I do) but right now the main thing is to remove my wisdom teeth.. so I spoke to the dental assistant and she said they will do X-Rays & etc. due to me being a new patient
Anyway just on Thursday according to my employers insurance policy below how much will I be paying that day?? and how much will I pay when I do return to have my wisdom teeth extracted?? what is the deductible fee for? and when do I pay?
I am the only person on my dental insurance and like I said I have only asked for a check up on Thursday so that the dentist can tell me what I need to have done.. and hopefully set up an appointment for next week to have the wisdom teeth get removed…… thanks for your help
Coverage Type:
Type A: Preventive
Cleanings, Oral Exams, Fluoride Applications, X-rays, Bitewing X-rays
Type B: Basic Restorative
Fillings, Extractions, Oral Surgery, Endodontics, Periodontics, Periodontal Maintenance, Sealants, Space Maintainers, Anesthesia, Emergency Palliative treatment, Injections of antibiotic drugs
Type C: Major Restorative
Consultation, Implantology, Relining and Rebasing, Bridges & dentures, Crowns/Inlays/Onlays, Repairs of dentures, crowns, inlays, and onlays, Prefabricated stainless teel crown.
Type D: Orthodonthia
So the company pays:
In Network:
Type A: 100% of Fee
Type B: 80% of Fee
Type C: 50% of Fee
Type D: 50% of fee
Deductible applies to type B and C services only.
Individual -
Family - 5
Annual Maximum Benefit
Per Person - ,000
Heres an example they gave us:
Your dentist says you need a crown, a Type C Service:
In network doctor Fee: 0.00
Dentist usual fee: 0.00
*please note: this example assumes that you annual deductible has been met.
In Network
The Fee is 0.00
Your plan pays:
(50% x 0 Fee) -0
Total out of pocket cost 0.00
Out of Network:
Dentists usual fee 0.00
Your plan pays
(50% x 0 Fee)
Total out of pocket cost 0.00
I dont know when to pay the deductible or what it is?..


