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Will Dental Insurance Cover an Emergency Visit?

September 14, 2022

Filed under: Uncategorized — drmurray @ 7:25 pm

Dental emergencies are stressful enough as it is. Whether you have a searing toothache or a broken restoration, you’re going to want to get to your emergency dentist’s office as soon as possible. They’ll do everything possible to restore the function and aesthetic of your smile! Of course, you may be wondering how much it’ll cost to get your oral health back on the right track. Will your dental insurance even cover urgent dental care? Continue reading to find out!

Types of Dental Insurance Plans

First and foremost, you must consider the type of dental insurance plan you have. Doing so will help you better understand what kind of help to expect should you find yourself experiencing a dental emergency in Fairfax. Let’s take a closer look at three of the most common types:

  • Preferred Provider Organization (PPO) – A PPO plan gives you the option to visit a dentist both in and out of your provider’s network. However, choosing a practice that’s in-network will ensure you have lower out-of-pocket costs.
  • Dental Health Maintenance Organization (DHMO) – This plan requires you to visit a dentist your provider has approved of. If you seek care outside of that list, you may not receive any coverage.
  • Discount Dental Plans – These programs provide you with a pre-negotiated rate you can expect to pay by getting dental care from a select group of practices. Although you won’t have any covered services, you do get a notable discount on the care you receive.

What’s Covered in a Dental Emergency?

If you have a PPO or DHMO plan with active benefits, you’ll be happy to know that at least a portion of your care will be eligible for coverage. For example, you usually get one fully covered emergency exam per year and partial coverage on treatments associated with hurting teeth (i.e., crowns, fillings, root canals). The exact percentage can vary based on your specific plan, which is why you should confirm the details with your insurance provider before committing to anything.

How Your Dentist Can Help

When you’re in the middle of a dental emergency in Fairfax, the last thing you want to worry about is the cost. Luckily, your dental team is always happy to help you navigate the financial aspects of your treatment. They’ll review your dental insurance and do what they can to maximize your benefits, ensuring you get the most out of your coverage. In addition, you can apply to CareCredit financing to make the overall cost much easier to manage.

You don’t have to break the bank to restore your smile. With dental insurance and additional financing options, you can get the care you need at affordable prices!

About the Practice

At MJM Family Dentistry, we strive to deliver high-quality dental treatments at prices that won’t hurt your wallet. Our team never wants you to have to worry about whether or not a particular service is affordable! That’s why we’re in-network with various common dental PPOs and are open to accepting other plans. If you have any questions about your dental insurance, visit our website or call (703) 934-5540 to get the answers you’re looking for.

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