Unlocking the Benefits of Gold Dental Insurance

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Having gold dental insurance can be a game-changer for your oral health. With a gold plan, you can expect to pay a higher premium, but you'll receive comprehensive coverage for a wide range of dental services.

Gold dental insurance typically covers 80% of preventative care costs, including routine cleanings and exams. This means you'll only need to pay 20% out-of-pocket.

One of the biggest benefits of gold dental insurance is the coverage for major procedures. With a gold plan, you can expect to pay little to no out-of-pocket costs for crowns, bridges, and root canals.

Plan Overview

The Momentum Gold Insurance Plan is a cost-effective option for those with minimal dental needs. Members typically only need to visit the dentist for two teeth cleanings a year.

Our Gold Plan is an intermediate level plan that offers more coverage than the Protect Plan, but not as comprehensive as the Platinum Plan. With an annual maximum benefit of $1,200 per person, per benefit year, you can rest assured that you're covered for your dental expenses.

You can choose a Delta Dental PPO Provider to receive lower out of pocket costs. The plan maximum is $1,000 per person, per calendar year.

Plan Highlights

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The Momentum Gold Plan is a great option for those looking for a cost-effective dental insurance plan. It offers more coverage than the Protect Plan, but not as comprehensive as the Platinum Plan.

One of the benefits of the Gold Plan is that it has an annual maximum benefit of $1,200 per person, per benefit year. This means that you'll have a fixed amount of coverage each year, which can help you budget for your dental expenses.

The Gold Plan is underwritten by Delta Dental Insurance Company, which is a reputable provider in the industry. This ensures that you'll have access to a network of providers who can offer you quality care.

You'll receive lower out of pocket costs by visiting a Delta Dental PPO Provider. This can help you save money on your dental expenses and make your insurance plan more affordable.

Here are the plan highlights:

  • Plan Maximum: $1,000 per person, per calendar year
  • Benefits increase after the first and second years
  • 6 month waiting period for basic procedures
  • 12 month waiting period for major procedures
  • $50 deductible per person, per calendar year

The Gold Plan also offers a 100% coverage for preventative services like exams and cleanings. This is a great benefit for those who prioritize regular dental check-ups.

Oral Care is Key to a Healthy Lifestyle

Patient having a Dental Treatment
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Oral care is key to a healthy lifestyle. Routine oral care is critical as you pass the age of 65.

Dry mouth, gum disease, and tooth loss can affect a person's social life and health. These conditions should not be accepted as a natural part of aging.

Gum inflammation is directly associated with lung and heart disease, and strokes. Issues like gum inflammation can be prevented with routine oral care.

Canceling or postponing routine dental appointments can be tempting due to financial constraints. However, you don't have to choose between your health and financial livelihood.

Our plans provide routine dental care, such as cleanings, dental exams, and X-rays, at no cost to you. This includes a national network of dentists to choose from.

Benefits and Services

Gold dental insurance offers a range of benefits and services to help you maintain good oral health.

You can choose from two additional benefits: the buyup option, which adds $1,000 of coverage, and the carry-over benefit rider, which allows unused plan benefits to carry over for use in the following year, up to a maximum of $3,000.

Unrecognizable dentists using medical equipment during teeth treatment in modern clinic
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The Gold plan includes diagnostic and preventative services, such as cleanings, exams, and x-rays, which are covered at 100% of the cost after the first year.

Here is a list of the diagnostic and preventative services covered by the Gold plan:

  • 2 cleanings (every 6 months)
  • 2 exams (every 6 months)
  • 1 set of bitewing x-rays (once per year)
  • Fluoride treatment (through age 18; once per benefit year)
  • Panoramic x-ray (once per 5 year period)
  • Sealants (through age 13, first & second permanent molars only; once per tooth)
  • Space maintainers (through age 15)

The Gold plan also covers basic procedures, such as amalgam fillings, and major procedures, such as endodontics, periodontics, and oral surgery, with varying levels of coverage.

Diagnostic and Preventive Services

As part of our dental benefits package, we offer a range of diagnostic and preventative services to help keep your teeth and gums healthy.

You're entitled to 2 cleanings every 6 months, which is crucial for removing plaque and tartar that can lead to cavities and gum disease.

Our plan also covers 2 exams every 6 months, where our dentists will check for any signs of oral health issues and provide personalized advice.

A set of bitewing x-rays is taken once per year to help detect any problems with your teeth and gums.

Dentist and Nurse Working on Woman'S Teeth
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Fluoride treatment is available through age 18, and is applied once per benefit year to help strengthen your teeth and prevent decay.

You can also get a panoramic x-ray once every 5 years to get a comprehensive view of your teeth and jawbone.

Sealants are applied to your teeth to prevent decay, and are available for children through age 13, covering their first and second permanent molars only.

Space maintainers are also covered for children through age 15, helping to maintain the space between teeth and prevent overcrowding.

Here's a summary of our diagnostic and preventative services:

  • 2 cleanings (every 6 months)
  • 2 exams (every 6 months)
  • 1 set of bitewing x-rays (once per year)
  • Fluoride treatment (through age 18; once per benefit year)
  • Panoramic x-ray (once per 5 year period)
  • Sealants (through age 13, first & second permanent molars only; once per tooth)
  • Space maintainers (through age 15)

Making the Most of Our Benefits

You can maximize your dental benefits by choosing additional riders, such as the buyup rider, which adds an extra $1,000 of coverage to your plan.

The carry-over benefit rider is another option, allowing you to carry over unused plan benefits up to a maximum of $3,000.

To make the most of our dental benefits, visit the Dental Plan website to search for in-network dentists by location, name, or practice.

Man Having Dental Check-up
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Basic dental coverage is included in the Mount Carmel MediGold Cash Back No Premium (HMO) and Mount Carmel MediGold Cash Back (HMO) plans.

All other plans include a combination of Basic and Comprehensive dental coverage, which covers restorative and extraction services at 50% coinsurance, as well as endodontics and periodontics at 70% coinsurance.

The annual combined benefit maximum is $1,000.

You can enroll in supplemental dental plans, such as Dental Silver or Dental Gold, which offer enhanced comprehensive services and increased benefit maximums.

The annual benefit maximum for Dental Silver is $1,500, and for Dental Gold, it's $2,000.

Dental procedures covered by these plans vary by type and frequency, so be sure to check the plan details for specifics.

Here's a quick rundown of the supplemental dental plans:

Keep in mind that these plans have specific coverage and requirements, so be sure to review the details before enrolling.

Optional Add-ons

Optional add-ons can be a great way to customize your gold dental insurance to fit your needs. You can choose one of two additional benefits for an additional fee at the time of application.

Dentist Checking Teeth of a Person
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The buyup option allows you to add $1,000 of coverage to your policy, effectively doubling your coverage to $2,000. This can be a good option if you want to maximize your policy benefits.

The carry-over benefit rider is another useful add-on that allows you to carry over unused plan benefits to the following year. This can help you make the most of your dental insurance benefits.

If you have an unused benefit balance, it will accumulate until it reaches a maximum of $3,000. For example, if you have a balance of $500, you can use it in the next calendar year.

Insurance Providers

If you're looking for a reliable dental insurance provider, you've come to the right place. Wisconsin's First Choice in Dental Coverage Providers is a trusted name in the industry.

We're happy to help you find the perfect coverage for your needs. If you have any questions about our plans, their premiums, deductibles, coverage, or exclusions, we're here to explain the details of our Gold Dental Insurance Plan.

Plan Details

Dental Clinic
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The Gold Plan is our intermediate level plan, offering more coverage than the Protect Plan but not as comprehensive as the Platinum Plan.

The plan has an annual maximum benefit of $1,200 per person, per benefit year, which is a significant amount to help you manage your dental expenses.

You'll have a $50 deductible per person, per calendar year, which is a relatively low amount compared to other plans.

The Gold Plan is underwritten by Delta Dental Insurance Company, which is a reputable provider in the industry.

If you visit a Delta Dental PPO Provider, you'll receive lower out of pocket costs, which can be a huge relief for your wallet.

Here's a breakdown of the plan's coverage:

Note that there's a 6 month waiting period for basic procedures and a 12 month waiting period for major procedures, so be sure to plan ahead.

If this caught your attention, see: Delta Dental Insurance No Waiting Period

Frequently Asked Questions

Is gold dental worth it?

Gold dental work is a long-lasting option due to its high resistance to corrosion, acid, and bacteria. Its durability and gentle feel make it an excellent choice for patients with sensitive teeth or grinding habits.

Will insurance cover gold teeth?

Insurance may cover up to 50% of the cost of gold crowns, but coverage varies depending on the plan. Check your policy to see if it fully or partially covers the cost of gold crowns.

What is the most dental insurance will cover?

Dental insurance typically covers 100% of preventive care, and basic care often covers simple procedures like extractions and fillings

Matthew McKenzie

Lead Writer

Matthew McKenzie is a seasoned writer with a passion for finance and technology. He has honed his skills in crafting engaging content that educates and informs readers on various topics related to the stock market. Matthew's expertise lies in breaking down complex concepts into easily digestible information, making him a sought-after writer in the finance niche.

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