Types of Insurance

Dental Services

Financial Considerations
Your dental care provider will submit claims to your insurance company before they send you a statement. You will then receive a statement about the procedure, costs and amount covered by your plan. Contact your insurance provider for specific coverage information, including criteria, deductibles, and co-pays.

Some dental insurance providers cover every service with a co-pay, while others cover a specific percentage. Often there is an annual limit on the amount of money a dental insurance company will pay.

Commercial Insurance
If you have commercial insurance, they may provide coverage, but you’ll need to check with your representative to review your plan.

Managed Care Insurance
Managed care insurance companies identify their “network” health systems; contact their representatives to discuss how this may impact reimbursement.

U.S. Veteran Benefits
In general, dental benefits are limited to service-connected dental conditions or to veterans who have a VA 100% service-connected disability rating. Check with your representative to review your coverage or contact the Department of Veterans Affairs at 877-222-8387 (1-877-222-VETS).

Medicare
Medicare does not cover routine dental care or most dental procedures such as cleanings, fillings, tooth extractions or dentures. In rare cases, Medicare Part B will pay for certain dental services. In addition, Medicare Part A will pay for certain dental services that you get when you are in the hospital. Some Medicare health plans may offer additional dental coverage. For additional information, call your local Medicare carrier.

Medical Assistance
Medical assistance has provisions for some coverage. Contact the Pennsylvania Department of Public Welfare for more information at 800-692-7462 (Helpline).