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Out-Of-Pocket Costs: 5 Things to Know

April 25, 2017 Sara Fossum

Dental benefits are designed to save you money, but you may have to pay additional expenses outside your monthly premium, also known as “out-of-pocket” costs.

5 things factor into these expenses:

1. Coverage
Dental coverage depends on your dental plan’s specific design. Some treatments may be covered in full, some may be partially covered, and some may not be covered at all. Log into your account to learn the specifics of your dental plan.

2. Deductible
 A deductible is the amount you’ll pay for treatment before your dental plan begins to start paying for treatment. Once you’ve met your deductible, your benefits will be in effect.

3. Coinsurance
 Coinsurance means your dental plan will pay for a predetermined percentage of a covered treatment’s cost. You are responsible for the remainder.

4. Copayment
 For some services, you may be responsible for a copayment or a fixed dollar amount at the time the service is rendered.

5. Annual Maximum
Some dental plans have an annual dollar maximum, meaning they will only cover a certain amount for treatment received in a year. If you’ve exceeded your annual maximum, you will be responsible for all treatment expenses until your plan resets.

Have questions about your plan? Ask us on Facebook or Twitter!

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