Oral and Overall Health
Do you feel you know enough about PPO plans?
Test your knowledge so far with this quick-to-complete quiz.
Q1) The best way to determine your out-of-pocket expenses is to request a:
Not quite. Pretreatment estimates will provide the most accurate account of how benefits will be paid for a procedure. Just remember, they are not a guarantee of payment – several factors could affect the final claim processing (such as exceeding your annual maximum).
Q2) With your PPO plan you can see any dentist you want.
That’s true. However, seeing an in-network dentist will keep your out-of-pocket costs lower.
Q3) When traveling outside the US, you cannot use your PPO dental benefits.
That’s false. You can use your PPO dental benefits worldwide. There are instructions on how to get reimbursement for treatments you might have to receive when abroad.
Q4) When your dental claims are processed, an Explanation of Benefits is sent ONLY to the treating dentist.
That’s false. You will also receive a copy. Explanation of Benefits statements detail the processing payment of the claim.
Q5) Coordination of Benefits is a set of rules that applies when you are covered by two dental benefit plans.
That’s true. If you have two insurance plans, it’s important that you understand which plan is responsible to pay first and which pays second, to make the most of your benefits.
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