INSURANCE

Familia Dental is in network with and accepts a wide spectrum of insurance plans. We work everyday with insurance providers to make our already convenient locations even more accessible to the communities we serve. If your insurance company is in network with us, you even receive a reduced co-pay!

Below is a sampling of the insurance providers with whom we are in network:

  • AETNA
  • Assurant
  • Blue Cross/Blue Shield
  • Cigna
  • Delta Dental
  • Guardian
  • Humana
  • LHI
  • Medicaid
  • MetLife
  • Molina
  • Tricare
  • United Concordia
  • A wide variety of other state managed care programs such as BadgerCare, BCBS Community Plan, Centennial, Forward Health, Harmony, IlliniCare, Meridian, and more! 

Don’t see your insurance provider here? Just give us a call at 888.988.4066 and we will be more than happy to confirm your coverage! As with any insurance coverage,  Familia Dental recommends that the patient contact their own carrier to ensure terms of coverage for each particular plan.


YOUR INSURANCE PLAN WILL BENEFIT YOUR HEALTH GREATLY IF YOU TAKE FULL ADVANTAGE OF IT. 

The three components of most insurance plans are:

Co-pay

A co-pay is the amount your insurance provider will require you to pay a set amount for each visit. The amount can differ with each individual plan and provider and is usually a set amount.

Deductible

Deductibles are the amounts  where your insurance provider will require you to pay. It is usually a set percentage of the total cost of care.
Care Coverage: Care coverage is what your insurance provider will cover for a particular procedure. 

Patient Responsibility

The patient responsibility is the cost that occurs when the sum total of the deductible and care coverage does not fully cover the cost of a procedure.

CARE CATEGORIES

Insurance companies generally define dental care by three categories of care. These categories can determine what your insurance will cover and what you will pay out of pocket.

Diagnostic and Preventative Care - Class I

Diagnostic care serves to identify any existing areas of concern in your mouth. Our dentists can outline a personalized strategy of diagnostic care for you. Diagnostic care includes exams and digital x-rays. Familia Dental digital x-rays use up to 80% less radiation than traditional x-rays. Both of these procedures are quick, easy and painless. Visit the dentist as soon as possible to receive diagnostic care especially if you start to have concerns about your oral health.

Along with dental cleanings, many plans will fully cover preventative care, the cornerstone of protecting your smile. Preventative care includes essentials such as fluoride treatments, a coating to protect the enamel of your teeth, and sealants, a procedure which protects undamaged teeth. Preventative care is quick and can prevent future complications in your oral health.

Components Applied: Co-Pay, Care Coverage

Basic Procedures - Class II
Simple procedures such as single extractions and fillings, in many cases, are covered by most insurance plans. These procedures may incur out of pocket fees. These fees are the patient responsibility.

Components Applied: Co-Pay, Deductible, Care Coverage, Patient Responsibility

Major Procedures - Class III

The last category covers major procedures. This includes braces, bridges, dentures and other more complicated procedures. These procedures will, generally, have a co-pay and depending on your personalized plan of care, may not be fully covered by your insurance plan.

Components Applied: Co-Pay, Deductible, Care Coverage, Patient Responsibility

Familia Dental will contact your insurance company to determine your benefit coverage and discuss your coverage for the recommended treatment plan. If you have any further questions, give us a call at 888.988.4066. Familia Dental care specialists are happy to provide you with further information. Familia Dental also recommends that you contact your insurance provider to discuss your covered benefits. 

Frequently Asked Questions