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Navigating Your Dental Insurance Plan in Edmonton: A Patient’s Guide

Dr. David Osborne

Dr. David Osborne

Dental health is a crucial part of our overall well-being, but the financial aspect can often be daunting. In Edmonton, understanding the nuances of dental insurance can make a significant difference in how you approach your dental care. At Heritage Dental Centre, we’re committed to helping you maximize your benefits while minimizing out-of-pocket expenses.

Understanding Your Coverage

Dental insurance plans can be complex, with various levels of coverage based on the type of service. Generally, these services are categorized into three groups: preventive, basic restorative, and major restorative. Preventive care, which includes exams, cleanings, and routine x-rays, is often covered at the highest percentage, reflecting the insurance’s goal to encourage regular dental care.

Annual Maximums and Deductibles

Most plans have an annual maximum, which is the ceiling on what the insurance will pay in a calendar year. Knowing this limit is crucial as it influences planning for any extensive dental work. Deductibles are the out-of-pocket cost before your insurance kicks in. These will reset annually, so timing your treatments can help in leveraging the full benefits.

Frequency Limitations

Certain treatments have frequency limitations. For instance, most insurance companies cover two cleanings per year. Being aware of these limits can help you schedule appointments without missing out on eligible benefits.


For more extensive procedures, a pre-authorization can provide a clear picture of what the insurance will cover. This step can prevent surprises when it comes to payment and allows for financial planning if there are uncovered portions.

Coordination of Benefits

If you have access to more than one dental insurance plan, coordination of benefits can work in your favor. This process allows for the possibility of reducing your out-of-pocket costs significantly.

Direct Billing and Claim Submission

Heritage Dental Centre offers direct billing services, allowing us to submit claims to your insurance company directly. This convenience means less paperwork for you and immediate processing of claims.

Dental insurance is a partner in maintaining your oral health, not an obstacle. By understanding your plan, you can make informed decisions about your dental care. Our team at Heritage Dental Centre is here to guide you through the details of your insurance coverage, so you can focus on what truly matters – keeping your smile healthy and bright. For more information or assistance with your dental insurance questions, contact us. We’re here to ensure that Edmonton smiles are cared for, both clinically and financially.

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Dr. David Osborne
Dr. David Osborne
Part Owner of Heritage Dental Centre Edmonton with over 5 years experience.