Preventive (Dental Subcategory)

Preventive dental care focuses on maintaining oral health through regular cleanings, examinations, and minor treatments. It helps detect issues early, reducing the need for major dental work later. Services in this category include exams, X-rays, scaling, polishing, fluoride treatments, and sealants for children.

‍

Most dental plans cover preventive services at a higher reimbursement rate, often 80 to 100 percent, with little or no waiting period. Preventive care is typically available right away after enrollment.

‍

Example:

‍

If a dental cleaning costs $180 and your plan covers preventive services at 100 percent, you pay nothing out of pocket.

‍

What to Watch For:

‍

Preventive benefits often have a recall interval - usually every six or nine months. Submitting a claim too early may result in denial.