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Health Insurance Benefits

Posted on November 21st, 2019 by Dr. Peter Tomaselli

We are officially in the final stretch of 2019, which means if you have health insurance benefits, you should be aware of the “use it or lose it” drill. Our dentists in Chicago, IL want to make sure you’re using your benefits to their full potential by following these tips.  

Meet Your Health Plan Deductible 

It’s important to find out if you’ve met your 2019 health-care deductible plan and if so, consider going to any last-minute doctors’ appointments before 2020. If you’ve paid your deductible, expenses are now paid by your insurance carrier so this helps you with out-of-pocket costs.  

Meet Your Dental Plan’s Benefit Maximum

Did you know that most dental plans actually feature an annual maximum? The price is normally around $1,000 to $3,000, but it resets at the end of every year. The ADA states that only 2.8% of people with a PPO dental plan use all their benefits—this is a really low amount, and it’s not worth leaving all that money behind. A good way to go about this is to automatically consider visiting your dentist at least twice a year for your bi-annual professional cleanings.   

Your Dental Plan

When it comes to making the most of your dental plan, make sure you are following specific guidelines. For example, consider going to your dentist for prevention treatment instead of a cure for something because many plans will pay 100% for preventive visits. Schedule a visit with us today before December is over! Also, you should think about your dental coverage, talking to your dentist to figure out what your specific needs are. It’s beneficial to make any appointments necessary before the holidays come around. Your dentist can also help you figure out what is covered through your insurance.  

Flexible Spending Account

If you have an FSA, it’s most likely through your employer, allowing you to set aside tax-free money from your paycheck. The funds go into your FSA account, but you must spend it by the end of each year.  

Use It Or Lose It

And, of course, we want to make sure that you are aware of this policy. If you have any money left over in your FSA, it will not roll over into the new year. You must spend all the money on any medical-related expenses—medicated, first aid, travel items—or you’ll lose it come January 1st.    

The Deadline

You must use your benefits no later than December 31, 2019. Anything that goes unused will not roll over into 2020 for a majority of the dental plans. Make sure you check your specific plan and the rules that come with it as to not lose any money or benefits.  

The Bottom Line

For more information, consider contacting your insurance provider, most likely an 800 telephone number on your identification card. You can also go to their website to find the answers to your questions.  

Your Dentist In Chicago, IL

We are ready to help you with any last-minute tips or care appointments at Chicago Smile Design. Contact us today before the holidays to make your last appointment of the year. We will make sure you are all set for 2020 and answer any questions you have about your benefits.


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