Month: April 2019

Dental Insurance Terminology: Helpful Notes From Your North Las Vegas General Dentist

We realize that sometimes it’s a little difficult to really understand and navigate through all of the legal rules and regulations of the dental healthcare world. That’s why Maddison Ave Dental is here to help you by providing you with this short and precise guide on insurance terminology.

A Basic Glossary

  • Annual Maximum – The maximum amount your policy will pay per year for care at Maddison Ave Dental. It is often divided into costs per individual, or per family if you have a family care plan.
  • Co-payment – A monetary amount the patient pays at the time of service before receiving care, and before the insurance pays for any portion of the care.
  • Covered Services – A list of all the treatments, services, and procedures the insurance policy will cover under your contract.
  • Deductible– A dollar amount that you must pay out of pocket each year before the insurance company will pay for any treatments or procedures
  • Diagnostic/Preventive Services – A category of treatments or procedures that most insurance companies will cover before the deductible which may include services like preventive appointments, X-rays, and evaluations.
  • In-Network and Out-of-Network – A list of providers that are part of an insurance company’s “network”.
    • If you visit in-network providers, the insurance company will typically cover a larger portion of the cost of the care you receive. If you visit someone who is not part of the network, known as an out-of-network provider, the insurance company may pay for a portion of the car but you will pay a significantly larger share from your own pocket.
  • Lifetime Maximum – The maximum amount that an insurance plan will pay toward care for an individual or family (if you have an applicable family plan)
    • This is not a per-year maximum, but rather a maximum that can be paid over the entire life of the patient.
  • Limitations/Exclusions – A list of all the procedures an insurance policy does not cover.
    • Coverage may limit the timing or frequency of a specific treatment or procedure (only covering a certain number within a calendar year), or may exclude some treatments entirely. Knowing the limitations and exclusions of a policy is very important.
  • Member/Insured/Covered Person/Beneficiary/Enrollee– Someone who is eligible to receive benefits under an insurance plan.
  • Providers at Maddison Ave Dental – Dr. Kostika Polena, Dr. Andrew Schneider, Dr. Kathleen Uy, Dr. Matt Welebir, or other oral health specialists who provide treatments.
  • Waiting Period – A specified amount of time that the patient must be enrolled with an insurance plan before it will pay for certain treatments; waiting periods may be waived if you were previously enrolled in another dental insurance plan with a different carrier.

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Knowing Your Plan

There are many different insurance options available; we advise that you find out exactly what your insurance covers. It’s important to review your plan with a qualified insurance specialist. At Maddison Ave Dental, we proudly help each and every one of our patients get the care they need when they need it thanks to our insurance care team. Don’t be afraid to ask questions regarding your policy so you can be confident the next time you come in for a treatment at our North Las Vegas dental office.

Contact Us Today

For more information on Maddison Ave Dental for insurance coverage questions or to set an appointment today with one of North Las Vegas’ best dental practices, call (702) 735-9500 or visit our Financing and Insurance page.

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IV Sedation Dentist in Las Vegas

It’s common for patients to feel anxious right before a dental procedure. This is why Maddison Ave Dental is prepared and wants to help our patients feel at ease right before their dental procedure by offering IV sedation options.

What is IV Sedation?

Monitored anesthesia or IV sedation is a type of sedation administered by professionals through the vein. The level of sedation may depend on the patient’s needs, ranging from whether the patient needs to be awake and able to speak during the procedure or being be placed into a deep sleep.

IV sedation is entirely safe and may be administered either by necessity of a dental procedure or by the request of an individual patient. Anytime IV sedation is used, patients should always have a designated driver with them to bring them to and from the dental office. As driving while under the effects of IV sedation is highly dangerous, even when only lightly sedated.

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Who can Benefit from Sedated Treatment?

Patients that benefit from sedation dentistry include those who have:

  • Difficulty Achieving Numbness
  • Sensitive Teeth
  • Sensitive Gag Reflex
  • Panic or Anxiety disorder
  • Autism
  • Needle Phobia
  • Complex Dental Needs
  • Post-Traumatic Stress Disorder

If one or more of these traits applies to you, consider IV sedation the next time you are worrying about your dental appointment.

For more information about IV sedation at Maddison Ave Dental in North Las Vegas, call our office at (702) 735-9500 or visit our appointment page.

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