Short Description
Restrictions in your plan that limit how often or how much dental services are covered.
Long Description
Limitations are specific restrictions within a dental insurance plan that affect how benefits are used. These can include how often a service is covered, how much of it is covered, or under what conditions the coverage applies.
Common limitations include things like “two cleanings per year,” “one crown per tooth every five years,” or age-based coverage for orthodontics. These rules help insurers control costs and ensure that treatments are medically necessary.
Understanding your plan’s limitations is crucial for planning dental care. Be sure to check your certificate of coverage or ask your dentist to submit a pre-treatment estimate so you’re not surprised by denied claims or unexpected costs.