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Hamilton Family Dentistry
Mon-Thu 8:00 am - 6:00 pm
Fri 8:00 am - 3:00 pm
222 Chambless Ln Hamilton, GA 31811
Mon-Thu 8:00 am - 6:00 pm
Fri 8:00 am - 3:00 pm
222 Chambless Ln Hamilton, GA 31811
(706) 810-2136

What You Need to Know About In-Network vs. Out-of-Network Dental Coverage

March 4th, 2021

With multiple dental offices in your area, the task of finding a dentist may initially seem easy. However, to make a choice that is best for your oral health and your wallet, it is important to understand how dental insurance works. For example, what are the differences between in-network and out-of-network dentists? How can you determine which is best for your unique dental needs? If you’ve asked yourself something similar, read on!

How Do In-Network Dentists Work?

In-network dentists, also known as participating providers, are contracted with your insurance company to provide dental care at negotiated rates. So, if you choose an in-network dentist, you can get the cost of preventive services (like dental checkups and cleanings) completely covered. Even non-routine care, like fillings, typically require you to pay less at the time of service. Therefore, while your options may be more limited, you can enjoy fewer out-of-pocket expenses!

How Do Out-of-Network Dentists Work?

Unlike in-network providers, out-of-network dentists are not contracted with any insurance company. Although they don’t have pre-established rates, selecting a dentist outside your network can be beneficial because you can choose the one who suits your needs best! Plus, you may still be able to use your dental insurance to cover a portion of your treatment, but the money is reimbursed to your home instead of to your dental team.

So, Which Is Best?

Since there are a variety of pros and cons with each option, the answer to this question depends on your unique smile goals and budget. For example, if you want to pay less out-of-pocket while simultaneously enjoying more coverage and benefits, then visiting an in-network provider is likely the choice for you. On the other hand, if you want to upgrade your smile with cosmetic dentistry or have a dental need that necessitates complex treatment, a highly experienced, out-of-network provider may be the way to go.

Whether you decide to choose an in-network or out-of-network dentist, make sure to read the fine print on your dental plan to prevent unused coverage and wasted dollars. After all, many policies reset in January, which means there are only a few weeks left to maximize your coverage. So, don’t hesitate to get in contact with your dentist and ask about utilizing your dental insurance!

About the Practice

At Hamilton Family Dentistry, patients can enjoy a comfortable atmosphere, the latest technology, a world-class team, and a comprehensive array of services all under one roof. Plus, they are happy to work with all insurance companies and will even provide you with a complimentary benefits check at your first appointment! So, if you want to utilize your benefits before they reset, don’t hesitate to visit their website or give them a call at 706-801-4089.

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FAQ

  • How often should I visit your office?

    We recommend patients visit our office two times each year for dental checkups.  These preventative visits arte the standard in care as set forth by the American Dental Association and this is typically frequent enough to prevent most oral health concerns and diagnose others in the earliest stages.
  • What is periodontal disease?

    Gum (periodontal) disease is a common oral health concern that occurs when plaque and tartar buildup irritates gum tissue and breaks down soft tissue and supportive jawbone structure leading to a number of oral health concerns.  We offer a variety of periodontal therapy options to renew oral health for patients suffering from gum disease.
  • Can I call you during dental emergencies?

    We are happy to help patients during dental emergencies.  Don’t heistate to contact us right away.  We provide same day appointments whenever possible and are happy to walk you through first aid and pain management over the phone.
  • Can I bring my kids to Hamilton Family Dentistry?

    Absolutely.  We’re happy to provide pediatric dental care for young patients and we offer a variety of treatments specifically geared toward patients with growing smiles.
  • I get nervous at the dentist. What can you do to help?

    In addition to treating each patient with the level of kindness and compassion they deserve, we also offer a variety of sedation dentistry solutions to help patients stay relaxed and pain free from the moment they arrive.
  • How will I know if I have a root canal infection?

    The doctor will need to examine your tooth to find out for sure, but contact us right away if you experience any of the following common warning signs of root canal infection:
    • Severe toothache
    • Sensitivity to changes in temperature
    • Discoloration of a single tooth
    • Infection in the gums around a tooth
  • Do you offer financing plans?

    We are happy to work with qualified patients to find low or no interest payment plans through two third party dentistry financiers, CareCredit and Lending Club.  Please ask us if you qualify for our financing options at your next appointment.
  • How often should I visit your office?
    image description
    We recommend patients visit our office two times each year for dental checkups.  These preventative visits arte the standard in care as set forth by the American Dental Association and this is typically frequent enough to prevent most oral health concerns and diagnose others in the earliest stages.
  • What is periodontal disease?
    image description
    Gum (periodontal) disease is a common oral health concern that occurs when plaque and tartar buildup irritates gum tissue and breaks down soft tissue and supportive jawbone structure leading to a number of oral health concerns.  We offer a variety of periodontal therapy options to renew oral health for patients suffering from gum disease.
  • Can I call you during dental emergencies?
    image description
    We are happy to help patients during dental emergencies.  Don’t heistate to contact us right away.  We provide same day appointments whenever possible and are happy to walk you through first aid and pain management over the phone.
  • Can I bring my kids to Hamilton Family Dentistry?
    image description
    Absolutely.  We’re happy to provide pediatric dental care for young patients and we offer a variety of treatments specifically geared toward patients with growing smiles.
  • I get nervous at the dentist. What can you do to help?
    image description
    In addition to treating each patient with the level of kindness and compassion they deserve, we also offer a variety of sedation dentistry solutions to help patients stay relaxed and pain free from the moment they arrive.
  • How will I know if I have a root canal infection?
    image description
    The doctor will need to examine your tooth to find out for sure, but contact us right away if you experience any of the following common warning signs of root canal infection:
    • Severe toothache
    • Sensitivity to changes in temperature
    • Discoloration of a single tooth
    • Infection in the gums around a tooth
  • Do you offer financing plans?
    image description
    We are happy to work with qualified patients to find low or no interest payment plans through two third party dentistry financiers, CareCredit and Lending Club.  Please ask us if you qualify for our financing options at your next appointment.