My Dentist is charging me for my first visit even though my plan covers 100% of two checkups a year. Whats up with that?
Many dental plans claim to cover 100% of the first two dental visits but this may not necessarily be the case. There is a “customary” or “reasonable” fee limit included in many plans, similiar to what you may find with other types of insurance. What is deemed “reasonable” can vary depending on the insurer coverage. So, if your first visit costs $100 and the cap is set at $85, then you will have to pay the difference.