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 Demystifying Dental Insurance: What Does My Plan Really Cover?

Jun 05, 2025
Dental insurance, dental cleaning, abscess, emergency, implants, crown, denture
Dental insurance can feel like a mystery—until you get the bill. At Hallmark Dental, we want to help you avoid surprises by giving you a clear understanding of what your dental insurance really covers.

Dental insurance can feel like a mystery—until you get the bill. At Hallmark Dental, we want to help you avoid surprises by giving you a clear understanding of what your dental insurance really covers.

Start with the Basics

Every dental insurance plan is different, but most include:

  • Preventive care (usually 100% covered): cleanings, exams, X-rays
  • Basic care (typically 70-80% covered): fillings, simple extractions
  • Major procedures (about 50% or less): crowns, root canals, implants

Many plans follow a 100-80-50 structure, meaning you are still responsible for a portion of the cost.

Insurance Is Just a Method of Payment

It’s important to know that insurance is not designed to cover your entire treatment plan. It’s a payment method, not full coverage. You will likely have out-of-pocket costs depending on the type and amount of care you need.

That’s where financial flexibility comes in.

Your Payment Options

At Hallmark Dental, we make it easier to manage your investment in your health by offering financing options through:

  • CareCredit
  • Cherry
  • Springstone

These plans allow you to break your balance into affordable monthly payments, so you don’t have to delay treatment due to cost.

Need help understanding your insurance or setting up a payment plan? We're here to help you every step of the way. Your smile is worth it!

Call Us! (407) 3442400