How Does Dental Insurance Work Tyler, TX
Many people are unaware of how dental insurance works. Fortunately, dental insurance plans are more straightforward and easier to understand than health insurance plans. Our team can help you learn about dental insurance plans, options, and how to make informed decisions about your oral health.
At Franklin Dental Center, we accept various dental insurances. If you are in Tyler and the surrounding area, call us today at (903) 593-2330 to schedule an appointment or learn more about our accepted dental insurance plans.
Shopping for Dental Insurance
When shopping for dental insurance, it is essential to keep one's ideal provider in mind. After all, dental insurance can only get one so far if it leads them to the wrong dentist. If possible, patients should check each provider's directory of dentists within their network before choosing a plan.
This can usually be done online or over the phone. If the provider they want is not in a certain dental insurance carrier's directory, they can move on to the next insurance company. However, patients who are open to seeing a different provider may choose to shop around for another dentist.
“When shopping for dental insurance, it is essential to keep one’s ideal provider in mind.”
What to Look for in a Dental Insurance Plan
There are several options available for dental insurance, catering to a variety of needs. As such, types of coverage, deductibles, and premiums vary accordingly. To help narrow down their options, patients should first determine what plans are available in their area. Certain dental insurance companies only offer coverage to certain states, so begin by ruling out any impossibilities.
Next, patients should look for a plan that covers several dentists and dental practices – whether they have a preferred provider and practice or not. It is always best to have more options. Additionally, patients should consider all costs – including the monthly premium, deductible, and any co-pays they may have to pay. It is also important to note the annual maximum and what types of procedures are covered.
“To help narrow down their options, patients should first determine what plans are available in their area.”
The Value of Dental Insurance
Purchasing dental insurance is a unique experience for everyone. Each patient must assess how much dental work they need, how many family members (if any) will be covered under their plan, and more. Typically, patients who require more dental work and have more family members who need coverage will receive the best value.
Most dental insurance plans cover preventative care (checkups and cleanings) at 100%, basic procedures at 70%, and major procedures at 50%. Since some procedures may be considered basic by one carrier and major by another, patients should speak with their insurance carriers for any necessary clarifications.
“Purchasing dental insurance is a unique experience for everyone.”
Check out what others are saying about our dental services on Yelp: How Does Dental Insurance Work in Tyler, TX
Individual vs. Family Dental Insurance
While some patients only need coverage for themselves, others may require coverage for the entire family. Both individual and family dental insurance plans can be purchased through the U.S. government's Marketplace or directly through a carrier. However, premiums for individual plans are typically lower than for family plans, as they involve only one individual.
In contrast, family dental insurance plans generally have higher premiums. However, most allow for two annual exams per plan member. It is essential for patients to find the right type of coverage for them – and, if applicable, their families – that still remains affordable.
“While some patients only need coverage for themselves, others may require coverage for the entire family.”
Questions Answered on This Page
Q. How can I find dental insurance that takes my ideal dentist?
Q. What should I look for in a dental insurance plan?
Q. What is the value of dental insurance?
Q. What are the differences between family and individual dental insurance?
Q. How can I find an affordable dental insurance plan for my family and me?
People Also Ask
Q. What factors should people consider when choosing a dental insurance plan?
Q. What is a health savings account?
Q. Who is the billing specialist?
Choosing Dental Insurance
Purchasing dental insurance can be an overwhelming experience. Luckily for many people, the plan offered by their employer or professional association is the best possible option. Still, in many cases, it may be useful for patients to talk to their dentists to see what plans they accept.
Many dental offices can recommend affordable plans that cover their patients' needs. Patients should look for a policy with a high spending cap if they know they will need major work done, while patients who require less work done can look for a policy with a lower spending cap.
“Many dental offices can recommend affordable plans that cover their patients’ needs.”
Frequently Asked Questions
Q. Can I be covered under multiple dental insurance plans?
A. You may, but one plan will probably be considered your primary plan. If this is the case, the primary plan will go toward your dental care first, with the other plan(s) covering the remaining costs. However, the plans cannot cover more than 100% of the treatment cost.
Q. What are the different kinds of dental plans?
A. Like health insurance plans, dental insurance plans are generally categorized either as Indemnity (e.g., HMO) or managed-care (e.g., PPO) plans. These plans mainly differ in the patient's choice of providers, how expenses are paid, and out-of-pocket costs.
Q. Why is dental health important?
A. Many people mistakenly believe that dental health is isolated from overall health. In reality, each system of the body is interrelated. In other words, neglecting your oral health could easily have disastrous effects on your overall health.
Q. Do I really need a dental insurance plan?
A. Yes. It can be costly to keep up with dental health, especially if you are making your routine checkups and cleanings as directed. Choosing the right dental insurance plan can help keep costs low while promoting proper healthcare.
Q. Whom should I talk to about any questions I have about my dental insurance plan's benefits or a claim?
A. It is best to directly contact your insurance carrier for any questions and concerns about your benefits or claims.
Scan here to view this page, How Does Dental Insurance Work, on mobile
Dental Terminology
Call Us Today
If you have questions about dental insurance options or whether or not a service is covered, call Franklin Dental Center in Tyler at 903-593-2330 to learn more.
Helpful Related Links
- American Dental Association (ADA). Glossary of Dental Clinical Terms. 2025
- American Academy of Cosmetic Dentistry® (AACD). Home Page. 2025
- WebMD. WebMD’s Oral Care Guide. 2025
About our business, license, and website security
- Franklin Dental Center was established in 1998.
- We accept the following payment methods: American Express, Cash, Check, Discover, MasterCard, and Visa
- We serve patients from the following counties: Smith County
- We serve patients from the following cities: Tyler, Overton, Chandler, Swan, Bullard, Whitehouse, Jacksonville, Henderson, Arp, Troup, Noonday, Winona, Van, and Athens
- National Provider Identifier Database (1588677025). View NPI Registry Information
- Healthgrades. View Background Information and Reviews
- Norton Safe Web. View Details
- Trend Micro Site Safety Center. View Details
Scan here to open directions to Franklin Dental Center on mobile
Back to top of How Does Dental Insurance Work
Related Posts
Welcome To Franklin Dental Center
We are committed to providing quality service to residents located In the Tyler, TX area. Our website has additional information about the following topics: Dentist, General Dentist, Cosmetic Dentist, Kid-Friendly Dentist, Emergency Dentist, Teeth Whitening, Dental Crowns, Dental Bridges, Dental Veneers and Dental Fillings.
Explore additional topics covered on our website:
Call Us Today
Scan here to call Franklin Dental Center on mobile
