Dental Insurance – Woodside, NY

Enjoy Affordable and Accessible Dental Care

Lady smiles in parking lot

The team at Woodside Dental Care understands the cost of necessary oral health services can be expensive for many patients, and we’re eager to make sure everyone in town can receive the treatments they need to stay healthy. We are partnered with a wide range of trusted insurance providers so we can provide essential oral healthcare at reduced rates, and we’ll also be happy to help patients with whom we are not in network. Here’s a quick look at how dental insurance works at our friendly dental practice.

How Dental Insurance Works

Child smiles at dentist

Most dental insurance plans are structured to offer coverage that works something like this:

  • 100% coverage for routine oral care services like checkups, cleanings, and X-rays.
  • 80% coverage for minor restorative work like fillings and gum disease treatments.
  • 50% coverage for major restorative services like dentures, bridges, and extractions.
  • Typically, no coverage is provided for cosmetic dental procedures since they are medically unnecessary.

If you have a PPO plan, it may impose restrictions like a waiting period or a deductible that must be met before benefits take effect or an annual maximum that defines the greatest amount of money the policy can pay in a year. However, PPO plans typically allow you to see any dentist you like. HMO dental plans, on the other hand, do not usually impose these restrictions, but they typically require policyholders to only see dentists who are in-network to receive coverage.

What Is the Difference Between Dental & Medical Insurance?

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Medical insurance plans are typically designed to provide coverage for unexpected health conditions or emergencies. Dental insurance plans, on the other hand, are usually designed to encourage policyholders to seek preventive care that can make costly restorative and emergency dental work unnecessary, which helps keep patients healthy and rates low. The best way to make the most out of your dental insurance benefits is to schedule regular checkup and cleaning appointments at Woodside Dental Care.

In-Network vs. Out-of-Network

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Most dental insurance policyholders are under PPO plans that allow them to see any dentist they like, but HMO plans typically only provide coverage if the policyholder sees a dentist who is in network. Here’s a quick look at the differences between seeing in-network and out-of-network providers.

In-Network Coverage

Lady smiles at dentist

A dentist who is in network with your policy has partnered with your insurance company so they can provide care at reduced rates. The team at Woodside Dental Care is proud to be in network with:

  • Aetna
  • Ameritas
  • Anthem Blue Cross
  • Anthem Blue Cross Blue Shield
  • Careington
  • Cigna
  • Connection Dental
  • Delta Dental
  • GEHA
  • Guardian
  • Humana
  • MetLife
  • Premier Dental Group
  • Principal Financial Group
  • United Concordia
  • UnitedHealthcare

Out-of-Network Coverage

Man smiles at dental hygienist

A dentist who is out of network with your policy has not negotiated with your insurance provider, which means PPO policyholders will probably not receive as much coverage when seeing an out-of-network dentist. HMO policyholders, on the other hand, will probably not receive any coverage when seeing an out-of-network provider.