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| *Loan,banking and credit>>>dental insurance |
What exactly does a dental insurance service frequency limitation of 2 per 12 consecutive months mean? |
During the first 12 months understand that it means that a particular service, for example, a routine dental cleaning, is covered 2 times with in a 12 month period, but what about the second 12 month period,and the third and so on. Is it always based the dates of coverage of the very first 2 cleanings in that first 12 month period, or does it change based on when the last two were covered in the previous 12 month period? For example if the very first 2 were covered on 3/16/04 & 6/23/04 and the next two were covered on 4/16/05 & 9/13/05, are the next two eligible 3/16/06 & 6/23/06 or 4/16/06 & 9/13/06? youre making it harder than it is. check w/your Plan. either they allow 2 services 2x a yr, anytime in the calendar yr or....they require service #2 to be at least 6 mos from service #1 that calendar yr. the company i work for does not care when its performed in that yr, only the quantity. the computer system will disqualify anything beyond 2. Source(s): insurance industry since '89 It means you can have two cleanings in any 12 month period. So if your last two were 4/16/05 & 9/13/05, your next two would be 4/16/06 & 9/13/06, which was actually last year so since you haven't been to for a cleaning since 9/13/05, you can go now if you want to because it's been almost a year and a half. I think the year is effective during the month that you enrolled. Here is a very good plan that you dont have to worry about usage limitations. This is a discount plan that has unlimited usage. Please check out this site: http://www.mybenefitsplus.com/40489430... http://www.mybenefitsplus.com/40489430... The answers above me are correct, but in a nutshell it means that insurance will not pay for more than two visits a year. Dental ins companies cover a dental cleaning every 6 months which equals 2 times in 12 months. So you can have your teeth cleaned using your ins. every 6 months. |
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