Whether you are looking for a new plan or trying to determine your coverage options for your current plan, understanding your dental insurance policy can be a real headache. Insurance companies have a tendency to use confusing terms and jargon, and if you do not understand them, you might not be getting the most out of your coverage. Here are some of the most important that you will want to know.
This is the amount of money that your insurance has agreed to pay for a service or supply. This might be different from the amount that your health care professional has billed, but your insurance company has likely negotiated a special rate for members.
The annual limit is the total max dollar amount that your insurance company will play for insurance claims within a given year. This might also be referred to as a calendar year maximum, but some plans might not have a set annual limit.