Dental Benefit, What Is A Pre-Treatment Estimate
It is a good idea to have your dentist complete and submit a request for a cost estimate, if your dental care will be extensive. This will allow you to know in advance what procedures are covered, the amount the benefit your dental insurance plan will pay toward treatment and your financial responsibility.
However it is important to understand that a pre-treatment estimate is not a guarantee of payment. When the services are complete and a claim is received for payment, to your dental insurance carrier, they will calculate payment based on your current eligibility, amount remaining in your annual maximum limitation minus any deductible requirements.