FAQ: Do you take dental insurance at Franklin Children’s Dentistry?

Understanding Dental Insurance at Franklin Children’s Dentistry in Franklin, TN

Navigating dental insurance can be challenging. At Franklin Children’s Dentistry, Dr. Robyn Hofelich and her staff aim to simplify this process and help you utilize your benefits. Here is a comprehensive guide to the dental insurances our office accepts, including in-network insurance plans and how we can assist with out-of-network insurance plans.

In-Network Dental Benefits at Franklin Children’s Dentistry

 

Delta Dental

Blue Cross Blue Shield and Anthem

Careington Dental Network

Under the Careington Dental Umbrella, we participate with select plans to provide affordable dental care options. Careington offers a variety of discount dental plans that can help reduce the cost of treatments. By choosing a plan that we participate in, you can access quality dental care at reduced rates. Here are some of the insurance companies included in the Careington Dental Network:

• Cigna
• EMI Health
• Guardian
• Humana
• Lincoln Financial
• United Healthcare
• UMR
• And many others

For more information on the Careington plans we participate in, you can refer to this Careington Dental Network TPA Group Listing.

Connection Dental Network

We also participate with select plans under the Connection Dental Umbrella. Connection Dental offers a network of dental care providers that deliver quality services at discounted rates. Here are some of the insurance companies included in the Connection Dental Network:

• Aetna
• Ameritas
• First Dental Health
• GEHA
• Metlife
• Principal
• Sun Life Financial
• United Concordia
• Unum
• And many others

For a detailed list of the Connection Dental plans we participate in, please refer to this Connection Dental Payor List 2024.

 

Understanding In-Network vs. Out-of-Network Dental Insurance Benefits

In-Network Dental Benefits

When we are in-network with your insurance provider, it means we have an agreement with the insurance company to provide services at pre-negotiated rates. These rates are usually lower than our standard fees, which translates to lower out-of-pocket costs for you. Additionally, in-network benefits often come with higher coverage levels and lower deductibles.

Out-of-Network Dental Benefits

If we are not directly in-network with your insurance plan, you can still utilize your out-of-network benefits. This means you can receive care from our office, but the cost structure will be different. Generally, out-of-network benefits may have higher deductibles, lower coverage levels, and potentially higher out-of-pocket costs compared to in-network benefits. However, many plans still offer significant reimbursement for out-of-network care, and we can assist you in understanding and maximizing these benefits.

Tips for Maximizing Your Dental Insurance Benefits

To make the most out of your dental insurance:

1. Verify Coverage: Before scheduling an appointment, check with our office or your insurance provider to confirm your network status with our office.
2. Understand Your Benefits: Familiarize yourself with your plan’s benefits, including covered services, annual maximums, and any exclusions or limitations.
3. Plan Ahead: Schedule regular check-ups and cleanings to ensure your child’s oral health is maintained and to avoid more treatments in the future.
4. Ask Questions: Don’t hesitate to ask our knowledgeable staff any questions you may have about your coverage and benefits.

Our Commitment to Your Child’s Dental Health

At Franklin Children’s Dentistry, we are committed to providing exceptional dental care for your child while helping you navigate the complexities of dental insurance. We believe that every child deserves access to quality dental care, and we strive to make that possible through our partnerships with leading insurance providers.

If we are not directly in-network with your insurance plan, rest assured that we can still work with you to utilize your out-of-network benefits effectively. Our goal is to ensure that your child receives the best possible care, regardless of your insurance situation.

If you have any questions about your dental insurance or need assistance understanding your benefits, please feel free to contact our office. We are here to help!

 

Dr. Robyn Hofelich, DMD

5000 Longpoint Way STE 500

Franklin, TN 37064

(615) – 656-5544