When it comes to maintaining your overall well-being, oral health plays a key role. From preventing gum disease to managing chronic conditions, dental care isn’t just about a brighter smile—it’s about your total health. That’s why understanding your dental insurance plan, such as Total Health, is so important.
If you’re covered by a Total Health plan and wondering how to find dentists who take Total Health insurance, you’re in the right place. In this comprehensive guide, we’ll cover:
- What Total Health insurance is
- How to find in-network dental providers
- Services typically covered under your plan
- How to reduce costs and improve outcomes
- Tips for selecting the right dentist
- Common FAQs
What Is Total Health Insurance?
Total Health is a term that can refer to various healthcare and dental insurance providers across the United States. It may include:
- Employer-sponsored plans with dental add-ons
- Medicare Advantage or Medicaid plans
- Private or regional insurers under the Total Health brand
These plans often feature a network of partnered dental providers, which means choosing a dentist in that network can significantly reduce your out-of-pocket costs.
Pro Tip: Your Total Health dental plan may differ depending on where you live and the specific package you’re enrolled in. Always verify the exact benefits on your policy documentation or through your member portal.
How to Find Dentists Who Accept Total Health
Finding a dentist who accepts Total Health insurance is easier than you think if you follow these steps:
1. Use the Total Health Provider Directory
Visit your insurance provider’s official website and look for a section like “Find a Provider” or “Dental Directory.” You can:
- Filter by specialty (e.g., family dentist, pediatric, orthodontist)
- Enter your ZIP code or city
- Confirm which providers are accepting new patients
2. Call Customer Support
Reach out to the Total Health member services hotline. They can:
- Give you a current list of in-network dental providers
- Help you navigate your coverage options
- Explain any special enrollment rules
3. Ask the Dental Office Directly
Before making an appointment, call the dental office and ask:
“Do you accept Total Health dental insurance? Are you in-network with my plan?”
This helps you avoid surprise charges and confirms whether the provider is actively billing under your plan.
4. Use Third-Party Healthcare Tools
Websites like Zocdoc, Zencare, Opencare, or even Google Maps allow users to filter by accepted insurance plans, reviews, and location.
What Services Are Covered Under Total Health Dental Plans?
While your specific coverage may vary, most Total Health dental insurance plans include:
Preventive Services – Often Covered 100%
- Routine exams (1–2x per year)
- X-rays (annual or biannual)
- Dental cleanings
- Fluoride treatments (especially for children)
Basic Services – Partially Covered (50%–80%)
- Fillings
- Tooth extractions
- Treatment for minor gum issues
Major Services – Covered at a Lower Percentage
- Root canals
- Dental crowns and bridges
- Dentures
- Oral surgeries
Orthodontics – Varies by Plan
- Braces or Invisalign may be covered for children or teens
- Adults typically require a premium plan or add-on coverage
Cosmetic Dentistry
- Services like teeth whitening or veneers are usually not covered, unless medically necessary.
Types of Dentists That May Accept Total Health Insurance
Here’s a breakdown of common dental specialties and the services they provide under most insurance plans:
| Dentist Type | Services Offered |
| General Dentist | Exams, cleanings, fillings, fluoride, basic x-rays |
| Pediatric Dentist | Child-focused care, fluoride treatments, cavity repair |
| Orthodontist | Braces, retainers, bite correction |
| Oral Surgeon | Wisdom teeth removal, jaw surgery |
| Endodontist | Root canals and internal tooth treatment |
| Periodontist | Gum care, scaling & root planing, implants |
Tips for Saving Money with Your Total Health Dental Plan
Want to get the most value from your coverage? Follow these strategies:
1. Schedule Preventive Visits Every 6 Months
Most Total Health plans cover biannual cleanings and exams at no cost—don’t miss them!
2. Get Cost Estimates Before Major Procedures
Ask your dentist to submit a pre-treatment estimate to Total Health before undergoing expensive procedures.
3. Stick to In-Network Providers
Out-of-network dental care may result in reduced coverage or no coverage at all. Always confirm your provider is in-network.
4. Use FSA or HSA Funds
Flexible Spending Accounts (FSA) or Health Savings Accounts (HSA) can be used for copays, procedures, and dental tools like night guards.
Real-World Examples of Dentists Who Accept Total Health
These are fictional examples but represent what a user might find:
New York, NY
- SmileBright Dental Care – Accepts Total Health PPO and Medicaid plans
- Uptown Kids Dentistry – Pediatric dental care with Total Health plans
Los Angeles, CA
- Coastal Dental Studio – General and cosmetic dentistry
- SoCal Ortho Smiles – Offers orthodontic care under Total Health
Miami, FL
- Biscayne Family Dentistry – Cleanings, exams, emergency care
- Doral Dental Group – Spanish-speaking staff, Total Health-friendly
Always call ahead and verify coverage before your appointment.
FAQs About Dentists Who Accept Total Health Insurance
1. Do all dentists accept Total Health insurance?
No. Only providers who are part of the Total Health network will accept your plan at the in-network rate.
2. Can I visit a specialist with Total Health dental insurance?
Yes, but you may need a referral from your general dentist depending on your plan.
3. Is emergency dental care covered?
Yes, especially if the dentist is in-network or if the procedure is deemed medically necessary.
4. What if I need dental care while traveling?
Some plans offer out-of-area coverage. Call Total Health to confirm your travel dental options.
5. Are implants covered by Total Health dental insurance?
Implants are sometimes covered under major restorative care, but pre-authorization is usually required.
6. Can children see a different dentist under my plan?
Yes, pediatric dental providers are often included in family plans under Total Health.
7. How do I change my in-network dentist?
Log into your Total Health portal or call member services to switch providers.
8. What happens if my dentist leaves the network?
You may need to find a new in-network provider or pay more for out-of-network services.
Final Thoughts
Choosing the right dentist who accepts Total Health insurance is a smart way to maintain both your oral and overall health—without breaking the bank. Whether you’re new to the plan or simply switching providers, the steps outlined in this guide will help you make confident, cost-effective decisions about your dental care.
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