Last Updated on 13 February 2020

Common Health Insurance Limitations: Vision and Dental

Knowing the limitations of your policy can save you from unexpected and unwanted surprises.  In this series, we take a look at some of the most common ones.  After all, you wouldn’t want to assume that vision and dental is included in your plan.

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Know Your Policy

This is the common theme or moral of this miniseries on “common limitations”.  Growing comfortable with the dynamics of your policy will be a significant aid to you.

As you develop your knowledge of your health insurance policy, you will be able to better plan for your needs.  If you know the difference between two providers (in or out of network), for instance, you’ll be able to decide which will be less expensive.  Or, as explained below, you’ll know whether or not your dentist or other type of doctor is covered at all. Some of these dynamics can save your budget.

What’s Covered?

Before you buy a health insurance policy, you should be knowledgeable of the basics.  One of the most essential ones, and a very common limitation, is the types of coverage you have.

Most commonly, dental and vision is excluded from health insurance plans.  It is certainly not unheard of to find inclusive policies, but these services are not covered in the majority of your “average” policies.  This is, unfortunately, a common misconception among those who have health insurance coverage.

However, this is just the beginning for those who do have dental and vision coverage.  You’ll need to probe deeper to realise just what you have.

Examining Further

Have vision and dental?  That’s great news – but it won’t do you much good if you don’t understand its dynamics; you could have a low limit and high out-of-pocket expenses with it.

Look at the policy’s explanation of benefits under these categories.  You should note any limits to this coverage, along with the responsibility of the insured individual to cover any basics such as the deductible.  Take a long look at your policy’s network for these services; if you are shopping for coverage, a limited network can really undermine the effectiveness of a policy for you.

With knowledge comes understanding.  Take some time to become acquainted with the benefits, limitations, networks, and other important elements of your health insurance.  If you need assistance, don’t be afraid to speak to an expert or to clear confusing language with your agent, broker, or the insurance company itself.

How Valuable is Your Policy?

This is exactly the type of question that you’ll be able to answer following further investigation.

If you have strong vision and dental coverage, you can take advantage of it and enjoy peace of mind.  You can also begin to budget for common expenses (for instance, average dental visits and appropriate costs) that you’ll encounter.  Don’t just stop at a thorough understanding of your policy – put it into use.

If you don’t have coverage, don’t worry – it’s easy to get.  Look into individual dental and vision policies.  You might consider a broader health insurance plan as well, or look into other options such as discount plans offered by your provider.


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