Coverage Beyond Standard Dental Care

Stand-alone dental plans offer flexibility to cover routine cleanings, major procedures (like crowns and implants), and orthodontics that basic health plans often do not cover. These plans are ideal for those whose main health coverage lacks dental, or those who want more comprehensive coverage than their current plan allows.

Types of Dental Services

  • Type 1 dental services are standard “Preventive” services, like cleanings, exams and x-rays.
  • Type 2 services are called “Basic” and cover fillings and simple extractions.
  • Type 3 services are classified as “Major” and cover implants, dentures, oral surgery, root canals, and crowns.

Benefits

Annual benefit amounts can range from $1,000 to $3,000 with the option to see any dentist.

Coverage can often begin the next day with preventive care covered 100% at an in-network provider. Some plans also provide a child orthodontia benefit.

Network

Most plans will reimburse any dentist who submits a claim. The Maximum Allowable Charge (MAC) claim allowance is the maximum amount a network provider may charge. If a policyholder selects a network provider, they may have lower out-of-pocket costs. If they visit an out-of-network dentist, the claim allowance is considered at the Maximum Allowable Benefit (MAB), which is equal to the lowest network contracted fee in the ZIP Code area. Policyholders pay the difference between what the plan pays and the dentist’s actual charge.

Frequently Asked Questions

No, we do not charge a fee to the client for our services.

P2 has over 30 years of combined industry experience.

A Medicare Supplement policy, sometimes called “Medigap,” is a private insurance policy that can help pay for some of the health care costs that Original Medicare doesn’t cover. Medicare Advantage Plans are network-based plans offered by private insurance companies that have a contract with Medicare and provide additional benefits beyond Original Medicare like vision, hearing and dental benefits.

You must have Original Medicare Part A and Part B, live in the plan service area and not have End-stage renal disease requiring dialysis.

No, Medicare covers medical expenses related to illness or rehabilitation. Skilled Nursing is covered by Medicare for up to 100 days if you qualify for a skilled medical need. Long-term care services involve someone needing assistance with activities of daily living such as bathing, dressing, grooming and eating.