Braces that work behind the scenes

You can always check with your insurance company to find out what they are and how much they cover. However, the Tend insurance team can check for you and give you an exact break down. All we need is your Carrier name and subscriber ID.

In many instances, out of network benefits cover preventative services at 100%. Your exams and cleanings are considered preventive by Tend and your insurance! Give your info and we’ll tell you exactly what is covered and how much you’ll owe.

Being out of network simply means Tend does not have a direct contract with your insurance provider. It does not mean we don’t take your insurance. We take all insurances except DHMOs, Medicaid, Healthplex, and Emblem. For those carriers that we do have a direct contract with, they have negotiated prices. When out of network we use the base price for the service and apply the coverage percentages that correspond to your out-of-network benefits to calculate what you’ll owe.

The basic premise of dental insurance is the same as other types of employer-provided insurances such as Medical and Vision. Most dental insurance is provided by your employer, has monthly premiums associated with that coverage, has guidelines on who you can see, and differences in benefits provided. The major difference with dental insurance is that the insurance provider has a yearly maximum they will reimburse, whereas a medical insurance provider covers reimbursement after the individual reaches their own out of pocket maximum.