Dental exams, cleanings and x-rays are covered periodically by both plans but the timeframes are not described the same. Does each company track the timing of covered services the same way?
No, to receive the full value of your benefits, you should be aware of how your chosen plan determines whether or not your services are covered. For example, if you elect the MetLife plan, your exam and cleanings are covered once every 6 months; MetLife will track those visits to the month and year but not to the specific date. For example, if you have a routine cleaning on Jan. 15, 2006 then the next covered cleaning would be July 1, 2006 or later. If the next visit was earlier than July 1, the benefit would be denied. To continue the example, suppose you schedule that second covered cleaning on July 27, 2006. You are then eligible for a covered cleaning Jan. 1, 2007 or later, so a cleaning on Jan. 7, for example, would be covered. Delta Dental on the other hand will cover two cleanings in a rolling twelve month period; for example, if you have your first routine cleaning on Jan. 15, 2006 and a second cleaning on July 1, 2006 they are both covered as they are two within the 12 months
Related Questions
- Dental exams, cleanings and x-rays are covered periodically by both plans but the timeframes are not described the same. Does each company track the timing of covered services the same way?
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