Predeterminations

Predeterminations give you an estimation of your out-of-pocket expense prior to having treatment performed.

How will a predetermination help me?

A predetermination helps you and your dentist understand what treatments are covered under your dental plan and estimates what your out-of-pocket expense will be.

When should I request a predetermination from my dentist?

• If your dentist is recommending extensive treatment
• If you need an estimation of your out-of-pocket expense
• To determine benefit coverage and plan limitations
  

How long does it normally take to receive a predetermination?

If all information is received upon the initial submission of the predetermination, please allow 10 – 14 business days for processing

Please remember, a predetermination is only an estimation of your benefits. A predetermination does not guarantee payment of benefits and should only be used as a tool for you and your dentist to plan your treatment.