Dental Insurance & Benefits

Insurance & benefits

Making the most of your dental insurance

Bloomfield Dental is in-network with most major PPO dental plans. That means lower prices for you, claims filed by our team, and clear estimates before any treatment begins.

Dental insurance can be confusing, so we’ve put everything in one place: the plans we participate with, how PPO benefits really work, and how to get the most value out of yours. If you ever have a question, our team is happy to walk through your benefits with you, in plain language.

35+In-network plansIncluding most major PPOs
We fileYour claims for youLess paperwork on your end
0%Financing for 12+ monthsFor what insurance doesn’t cover
In-network plans

Dental insurance plans we accept

We participate with the PPO plans below, along with many plans that use the DenteMax and Connection Dental networks. Don’t see your plan? Give us a call. We may still be in-network through one of these networks, and we’re always happy to file out-of-network claims for you.

Aetna
Ameritas
Anthem Blue Cross Blue Shield
Beam
BCBS Federal Employee Program (FEP)
Blue Cross Blue Shield of Illinois
Blue Cross Blue Shield of Texas
Careington
Chesterfield Resources
Christian Brothers Services
Cigna
Delta Dental
Fidelio
Freedom Life Insurance
GEHA
Guardian
Horizon BCBS of New Jersey*
Humana
IBX / Dominion
LEHB
Lincoln Financial
Meritain Health
MetLife
Mutual of Omaha
Pacific Life
Physicians Mutual
Principal
Renaissance*
Solstice (PPO plans)
Sun Life
TeamCare
The Standard
United Concordia
United Concordia TRICARE (Active Duty)
UnitedHealthcare
Unum
Vitable Dental

*Select plans only. Plans and networks change often, so please call us at (610) 284-4770 to confirm your specific plan before your visit. We do not participate in dental HMO plans.

Serving Delaware County

Your in-network dentist in Drexel Hill, PA

Looking for a dentist near you who takes your insurance? Bloomfield Dental is an in-network PPO dentist for Aetna, Cigna, Delta Dental, MetLife, Guardian, UnitedHealthcare, Humana, GEHA, United Concordia, Principal, Ameritas, Sun Life, Lincoln Financial, Anthem, and IBX, along with dozens of other plans. Patients visit us from Drexel Hill, Upper Darby, Havertown, Lansdowne, Clifton Heights, Springfield, Broomall, and across Delaware County.

Being in-network means you get your plan’s negotiated pricing on everything from cleanings and fillings to dental implants, veneers, and full-arch rehabilitation. Our team handles the paperwork, files your claims, and explains your benefits in plain language, so you can focus on your smile.

Have a plan through your employer, the federal government (FEP or GEHA), or the military (TRICARE through United Concordia)? Call us at (610) 284-4770 and we’ll confirm your coverage before your first visit.

Understanding your benefits

How PPO dental insurance really works

Here’s something most people are never told: dental insurance works less like health insurance and more like a discount plan.

It’s very good at keeping routine care affordable, and it always saves you money on treatment. But it isn’t designed to pay for everything, especially larger treatment. Knowing that up front helps you plan ahead and avoid surprises.

What PPO insurance does well:

Preventive care like cleanings, exams, and X-rays is often covered at or near 100%
Basic care like fillings is usually partially covered
In-network pricing lowers your cost on nearly every service, all year long

Where it falls short:

Larger treatment like crowns, implants, and dentures is often covered only partially, commonly around 50%
Annual maximums are often low, typically $1,000 to $2,000 per year, and many haven’t gone up in decades
Waiting periods, frequency limits, and exclusions vary from plan to plan

Your insurance company shouldn’t get to decide how much of your dental health you’re allowed to have. That’s why we help you understand your plan, and why we offer flexible payment options to bridge the gap.

The part most people miss

Your insurance is a gift card and a membership card

Think of your PPO plan like a warehouse club membership that comes with a gift card loaded on it each year.

1

The gift card = your annual maximum

Each year, your plan loads a set dollar amount onto your card. Your insurance pays its share of your care from that balance. Once it’s spent, it’s spent until it reloads, usually on January 1st.

2

The membership card = your fee schedule

Because we’re in-network, your plan has a negotiated “members-only” price list with our office. That discount doesn’t run out. Even after your gift card hits $0, you still pay the member price, which is often well below our standard fees.

Let’s see how this works on a crown

Say you need a crown. Our standard fee is $1,500. Your plan’s in-network “member price” for that crown is $1,000, and your plan covers crowns at 50%. Here’s what you’d pay in three situations:

A · No insurance
Standard fee$1,500
Member discountnone
Insurance pays$0
You pay$1,500
B · In-network, gift card available
Standard fee$1,500
Member price$1,000
Insurance pays (50%)−$500
You pay$500
You save $1,000
C · In-network, gift card used up
Standard fee$1,500
Member price$1,000
Insurance pays$0 (maximum reached)
You pay$1,000
You still save $500

Example for illustration only. Actual fees, coverage, and savings depend on your plan. We’ll give you a personalized estimate before any treatment.

The takeaway: hitting your annual maximum doesn’t mean your insurance stops helping. You keep saving every time you visit, all year long.

Smart planning

Getting the most out of your benefits

1Use your preventive visits

Regular cleanings and exams are often fully covered, and they catch small problems before they become big ones.

2Plan across benefit years

When it’s safe to do so, we can phase larger treatment over two calendar years to use two annual maximums.

3Don’t leave benefits behind

Unused maximums usually don’t roll over. Fall is a great time to schedule care before your benefits reset.

4Bridge the gap

For anything insurance doesn’t cover, 0% financing through Cherry spreads the cost into manageable monthly payments.

Other ways we help

Out-of-network or no insurance? You’re still in good hands.

Out-of-network plans

If your plan lets you choose your own dentist, we’ll gladly file your claims so you can be reimbursed.

No insurance?

Start with our $100 comprehensive exam, or ask about our Smile Membership plan.

0% financing

12+ months of 0% interest through Cherry, plus CareCredit and Proceed Finance. See payment options.

Questions, answered

Dental Insurance FAQs

What does “in-network” mean?

It means we have an agreement with your insurance company to charge their negotiated fees. You pay less, and your benefits usually go further than they would at an out-of-network office.

What is an annual maximum?

It’s the most your plan will pay toward your care in one benefit year. Once it’s reached, you still receive in-network pricing on any additional care until it resets.

Will you tell me what I’ll owe before treatment?

Yes. We review your benefits and give you a written estimate before treatment, so you always know what to expect. For larger cases, we can also request a pre-treatment estimate from your insurance.

Does insurance cover dental implants?

Some plans cover part of an implant, while others don’t cover implants at all. We’ll check your plan and walk through all of your options, including financing. Learn about dental implants.

My plan isn’t listed. Can I still come here?

Absolutely. Many plans connect to us through the DenteMax or Connection Dental networks. Call us with your plan information and we’ll check for you.

Do you accept HMO dental plans?

We don’t participate with dental HMO plans. If your plan allows you to see any dentist, we’re happy to file your claims for reimbursement.

Drexel Hill · Delaware County

Let’s put your benefits to work

Send us your insurance information when you book, and our team will check your benefits before your visit, so you’ll know what to expect from day one.

4130 Bloomfield Ave, Drexel Hill, PA 19026 · Learn more on Instagram @bloomfield_dental