Dental Plan vs. Dental Treatment

No two individuals are alike; neither are their dental care needs. How you care for your teeth, your overall health, age, diet, nutrition and genetics are just some of the factors that influence your dental health. A group benefits plan is not unique to your dental health care needs and may not cover all your treatment requirements.

When you visit your dentist, he or she will examine your mouth and provide treatment recommendations based on their findings. Your dentist will go over all treatment options with you to let you know why they are recommending each option and to explain any concerns in delaying or declining the care. Ensure you ask if you have any questions so that you feel comfortable with your treatment choice. When making a treatment decision for your dental care, it is important to make your decision based on your dental health needs, not on what your dental plan covers.

For instance, your dentist may recommend you have an earlier recall exam to monitor an issue(s) of concern (six months vs. nine months as set out by your plan) or your dentist recommends a longer-term restorative treatment option than covered by your plan as the alternative may require re-treatment in the near future. Similarly, your dentist may recommend that you have your teeth cleaned more frequently than your plan will cover in order to treat or prevent gum problems.

Make an informed choice for your health:

  • Discuss all of your treatment options with your dentist to understand the reasons behind their recommendation and make an informed choice;
  • Know your plan so you can be aware of what may or may not be covered (your dental office can help you obtain a pre-determination based on your agreed treatment)

Also review the frequently asked questions on dental plans.