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Dental Insurance: Do You Know What You’re Covered For?

Dental insurance is a basic necessity, but for those who don’t have an employer-sponsored dental plan, finding the right coverage can be a struggle. There are dozens of providers with hundreds of plans to choose from, each with its own limits and definitions. How can you know that your coverage is right for you? Here’s how you can make sure your dental insurance plan meets your oral healthcare needs.

Don’t Just Look at Coverage Categories – Look at Terms

A lot of dental plans will have tiers like Basic, Comprehensive Basic, and Major Services. And although there tend to be several commonalities in what’s included in each tier across providers, there are also some differences. Some plans may only cover major procedures like periodontal disease treatments after you’ve been enrolled in the plan for a year, while others may limit your recall frequency to one year. That’s why you’ll want to read through the terms and conditions of each plan in detail and compare the plans so you know exactly what is covered and when.

Freedom of Choice, PPO or HMO?

Depending on what kind of plan you have, you might not be able to choose which Tucson dentist you want to see. HMO plans limit the dentists you can see to a specific network of dentists approved by your insurance provider. If you see a dentist outside that network, you’ll have to pay the entire bill out of pocket (unless it’s for emergency work).

A PPO plan means you can visit specialists like oral surgeons without needing a referral, and you can seek treatment from providers outside your coverage network. However, doing so means your treatments will be covered at a lower rate. PPO plans tend to be more expensive than HMOs, but they also give you more freedom.

Freedom of choice dental insurance offers the most flexibility with respect to finding a dentist. With a freedom of choice plan, you can visit any licensed dentist without needing a referral from a physician and your visit will be covered as per the terms of your policy. Freedom of choice plans, though, are typically the most expensive form of dental insurance available.

Payment Terms: How Much Coverage Do You Have?

Dental insurance plans have complicated financial terms that you’ll want to compare before settling on a plan. Each plan has its own unique deductible, different premiums, and unique co-payments, and your own individual needs will dictate which plan is right for you. If you’re a twenty-something healthy patient with no major dental issues, you might be able to get away with just a basic plan with low premiums and a high deductible. But older patients and patients with a history of dental issues may want to spend some extra money every month for more coverage. When evaluating plans, be sure to consider the deductible, the premiums, the maximums, and the coverage percentage offered.

Getting the right dental plan is about choosing what coverage is right for you – and in some cases, you may want to consider which dental professionals accept which insurance plans. Here at Badie Dental, we work with a large network of major insurance companies like Aetna and TDA. We also accept all PPO’s. To see our full list of accepted providers, click here or call us at (520) 433-9800

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Meet Our Doctor

A gifted and compassionate dentist providing a comprehensive range of preventive, restorative, and cosmetic treatments.

Committed on providing high-quality, patient-focused care to help all patients of all ages from children to senior citizens protect their teeth, gums, and overall oral health.

 

Dr. Badie was born and raised abroad but moved to the United States when he was just 19 years old to attend college and earn his dental degree. Dr. Badie completed his undergraduate degree in biology at a California State University before receiving his doctor of dental surgery (DDS) degree at Creighton University in Omaha, Nebraska.

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Our Patients Testimonials

Exceptional dental care from a team that truly cares about your smile and well-being
Sharp Barnes
5/5
1 year ago
Well trained staff! It’s always a warm welcome when visiting Dr. Badie. The patients satisfaction is truly a priority here. 10/10 I would recommend.
Shelly Jones
5/5
1 year ago
I am extremely petrified of dentists. Dr Badie was so patient with me, even when I was being a very hard patient. He gave me something to help with my anxiety. I had 8 teeth pulled at once. No pain whatsoever. Even the next day. No swelling, no pain. Even though I will still be scared every appointment, I know he can be trusted to be patient and gentle every step of the way.
Kelly Ann
5/5
1 year ago
I am so so excited to get my teeth fixed this is the best dentist office in Tucson hands down there so nice, not judgemental, And do spectacular work. Rachel is so amazing and so awesome she has been nothing but helpful and a delight to deal with. Everything about this experience getting my teeth fixed so far has been perfect now that I found this dentist office. While Most of the other places I had gone were unwilling to actually help me and were very judge mental of me because of my situation and needing to get my entire mouth restored after using drugs for 20 years, even after getting clean and saving up money I was still treated with such disrespect it was like disgusting and I am so grateful for Rachel and Dr. Badie & their team For being so compassionate and professional and fur doing all that they can to help me thank you guys so much you’re so amazing I hope that other people find & choose you so that you can help them too! I will forever be grateful to you guys And I’m so blessed to have found you thank you
Jennifer Perkins
5/5
2 years ago
I have been going to Dr Badie for about 3+ years for my cleaning. All his staff are AWESOME! Everyone is so nice and professional. I had my cleaning and filling done, and it was painless. Thank you all for making my teeth beautiful as always!
Richard Nordenberg
5/5
2 years ago
I’ve had a few good Dentists over many years but Dr. Badie’s office is by far the best and most pleasant to visit. Hard decisions are easier to make with their advice and council that can be trusted. He and his entire staff could not be better trained and professional in their work and office manner. It may sound a bit much but this is true, both my wife and I look forward to our appointments as the pleasant experiences they are. There should be 6 stars….Make that 7!
larissa bos
5/5
2 years ago
I received excellent dental care from Dr. Badie and his very friendly and efficient assistant Diane. Dr. Badie is very competent, detailed, compassionate, and thoroughly explains recommended treatment. His staff made me feel comfortable and welcome. Wonderful experience, highly recommended!
Irene Meza
5/5
2 years ago
I can’t say enough about Dr. Badie and his team. Samantha is the first person to see when you walk in the door, she’s warm and very comforting. She explains everything you need to know regarding your insurance and also the procedures. Angelica is the lead assistant she’s kept me informed as to what will be done as far as the procedure during my dental appointment. She was also very comforting and knowledgeable. Dr. Badie made me feel extremely at ease. I’ve never been to a dentist office where everyone made me feel so welcome and comfortable. Going to the dentist is definitely not somewhere you want to go but with Dr Badie he made all my worries go away. My teeth need a lot of work and he assured me he can make my teeth look amazing again. There’s no words to describe how blessed I am to be seen by Dr. Badie. Thank you from the bottom of my heart!!! I would definitely recommend this place!! 💓
Sabastian Rodriguez
5/5
2 years ago
Today I went in for my first check up.The whole staff was amazing. Dentist Badie really does care. He took his time with me to develop a plan with my teeth. I felt such a relief when he said that my teeth can be saved. Now myself I do not have insurance but the way they broke everything down made it super affordable for me. This place Is definitely worth it.

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Don’t wait any longer – get the dental support you need to reclaim your confidence right now! Schedule an appointment today and experience the comfort, security, function – and beautiful look – of fully restored teeth.

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