Medicare Dentist Near Me

If you are searching for a Medicare dentist near me in El Paso, Texas, Sun Ridge smiles is the place to be. As a dental practice that sees a lot of seniors, we can save you a lot of money because we take most Medicare Dental plans and we are well versed in providing dental care for Seniors. We can save your family a lot of out-of-pocket dental expenses. We frequently receive inquiries about Medicare dental insurance, and we’ve provided some information, just read on.

Medicare Dentist Near Me

What are dental Medicare Plans?

Dental Medicare plans come with a network feature, striking a balance between affordability and flexibility in choosing your dentist.

Medicare dentists are part of your network and agree to accept negotiated fees as full payment for Medicare patients, instead of their regular charges. When you visit a medicare dentist, you generally pay a percentage of the reduced rate (referred to as coinsurance), while the plan covers the remainder. The specific percentage varies based on the type of service, such as diagnostic and preventive or major treatments. For instance, preventive services may be covered at 80%, leaving you responsible for 20%, whereas procedures like crowns and bridges might have a 50% coverage rate. Medicare plans usually require you to meet a deductible and have an annual maximum coverage limit (e.g., $1,000 per year).

With Medicare dental insurance, you can ONLY see in-network dentist, so it it super important that you find a Medicare dentist near you.

Why Choose a in-network Dentist that Accepts Medicare?

A lot of patients ask us this question “What’s the difference between seeing a dentist that’s in-network and one that is out-of-network?”  The biggest difference is the amount of “out of pocket” expense that the patient pays. In other words, you will pay more seeing an out-of-network dentist. Fortunately for most families, Sun Ridge Smiles is in-network with most insurance plans. Here’s some other reasons to stay in-network:

No Waiting for re-imbursement

When you are treated by a Medicare dentist, you don’t have to pay the entire bill right away and then having to wait for reimbursement. Instead, your insurance company pays your dentist directly, and send you a notice explaining your portion of the bill. You pay the dentist only that amount at the time of appointment scheduling.  In some rare cases, if your insurance provider does not pay your portion then it is YOUR responsibility to pay the difference, but this is still less than going to a out of network dentist.

WE do the preauthorization paperwork for you

Our experienced biller will send the preauthorization for you for all the dental treatments and it will give us an exact idea of how much the insurance will cover, so it minimizes a surprise bill.

Dentist that accepts Medicare Agrees to a Set of Discount Fees

Typically a medicare dentist will have lower fees than a regular dentist.

Frequently Asked questions for Medicare Dentist near me

Medicare dental insurance most of the time covers preventive at 100%. Meaning that Exams, xrays, and regular cleaning are very likely to be covered unless you used the benefit too often.

We are currently in network with a lot of medicare plans. If you wish to find in El paso Dentist that Accepts medicare, you can click here to go to the official Medicare dental website.

All dental insurance plans are different and the amount of coverage can vary between plans. It’s important to remember that your insurance plan was chosen either by yourself or by your employer. Sun Ridge Smiles does not make the insurance rules—the insurance company does. We can however help you understand your insurance better, please feel free to contact us and ask about specific procedures