ENCINITAS DENTAL DESIGNS INSURANCE POLICY

Dental Insurance Plans

We're fully equipped to meet all your dental needs, whether it's for routine procedures or emergencies. Our devoted team is prepared to deliver comprehensive and caring service. Feel free to contact us for regular check-ups or any urgent concerns – your smile deserves the highest level of care, and we're here to provide just that.

Insurance Carriers

We gladly welcome and accept a variety of dental insurance plans. Here's a glimpse of some of the dental insurance carriers we work with:

  • Aetna
  • Ameritas
  • Anthem Blue Cross
  • Cigna
  • Delta
  • Guardian
  • MetLife
  • United Health Care
  • UCCI

Please call our office for more details at: 760-436-5580

PPO

The Preferred Provider Organization (PPO) stands out as the prevalent insurance option, offering members a curated list of participating dentists for selection. These dentists have committed to a reduced fee schedule, ensuring notable cost savings for you. Additionally, PPOs often provide support with insurance billing. Typically, coverage entails a 50% payment for major treatments (crowns, bridges, partials), 80% for basic care (fillings), and up to 100% for preventive care (exams, x-rays, basic cleanings). Annual maximums typically fall within the range of $1,000 to $2,000.

HMO

Known as capitated or prepaid insurance, this plan aims to offer members basic care at a highly affordable rate. Participating providers receive a monthly capitation check for patients assigned to their office, a nominal amount intended to cover administrative costs. While HMOs typically do not directly compensate for services rendered, the fees are substantially reduced. However, patients bear the responsibility of directly paying the doctor for the services received.

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