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Navigating the World of Dental Insurance Terminology

April 28th, 2021

Unless you work for an insurance company, you probably do not spend a lot of your time studying all the terminology that dental insurance companies use to describe the treatments and services they cover. If it seems pretty confusing, here are some of the most commonly used dental insurance terms and what they mean.

A Basic Glossary

Annual Maximum–The maximum amount your policy will pay per year for care at Simsbury Pediatric & Adolescent Dentistry. It is often divided into costs per individual, and (if you are on a family plan) per family

Co-payment– An amount the patient pays at the time of service before receiving care, and before the insurance pays for any portion of the care

Covered Services– A list of all the treatments, services, and procedures the insurance policy will cover under your contract

Deductible– A dollar amount that you must pay out of pocket each year before the insurance company will pay for any treatments or procedures

Diagnostic/Preventive Services– A category of treatments or procedures that most insurance will cover before the deductible which may include services like preventive appointments with Dr. Maryam Azadpur, X-rays, and evaluations

In-Network and Out-of-Network– A list of providers that are part of an insurance company’s “network”

  • If you visit in-network providers, the insurance company will typically cover a larger portion of the cost of the care you receive. If you visit someone who is not part of the network, known as an out-of-network provider, the insurance company may pay for a portion of the care, but you will pay a significantly larger share from your own pocket.

Lifetime Maximum– The maximum amount that an insurance plan will pay toward care for an individual or family (if you have an applicable family plan)

  • This is not a per-year maximum, but rather a maximum that can be paid over the entire life of the patient.

Limitations/Exclusions– A list of all the procedures an insurance policy does not cover

  • Coverage may limit the timing or frequency of a specific treatment or procedure (only covering a certain number within a calendar year), or may exclude some treatments entirely. Knowing the limitations and exclusions of a policy is very important.

Member/Insured/Covered Person/Beneficiary/Enrollee– Someone who is eligible to receive benefits under an insurance plan

Provider– Dr. Maryam Azadpur or other oral health specialist who provides treatment

Waiting Period– A specified amount of time that the patient must be enrolled with an insurance plan before it will pay for certain treatments; waiting periods may be waived if you were previously enrolled in another dental insurance plan with a different carrier

There are many different insurance options available, so you need to find out exactly what your insurance covers. It’s important to review your plan with a qualified insurance specialist. Don’t be afraid to ask questions about the policy so you can understand it fully and be confident that you know everything your policy covers the next time you come in for treatment at our Simsbury, CT office.

Earth Day

April 21st, 2021

The idea for Earth Day was the brainchild of Gaylord Nelson, a senator from Wisconsin. He envisioned an Earth Day that would be a kind of environmental teach-in. The first Earth Day celebration took place on April 22, 1970, and a surprising 20 million people participated on that day. Ultimately, it became the largest organized celebration in US history.

Earth Day Over the Years

Over the years, the recognition of the day, and the number of people celebrating it all over the world, turned Earth Day into an international celebration. Because it is celebrated throughout the world, it is not only the largest international environmental observation, but it is also more widely celebrated than any other environmental event in the world. Today, Earth Day is celebrated in 175 countries where over 500 million people participate in celebrations.

The Earth Day Movement

The Earth Day movement is credited with developing the idea that people should “think green”. It encouraged congress to enact laws, including one that resulted in the creation of the Environmental Protection Agency. It also inspired the passage of the Endangered Species Act.

The Five R's and Their Importance

  • Reduce – Reduce by avoiding unnecessary purchases. Reduce your use of materials that wind up in landfills. Reduce the use of chemicals around your house. Reduce your use of disposable bags, plates, cups, eating utensils, and batteries.
  • Reuse – Instead of using plastic bags for your groceries or purchases, bring your own reusable bags. When you go to buy coffee at Starbucks, take a travel mug so you don't have to get your coffee in a disposable paper cup. Instead of storing food in disposable refrigerator containers, buy containers that can be washed and reused. Don't use regular batteries. Whenever possible, opt for rechargeable batteries that you can reuse.
  • Recycle – Most cities offer a recycling program to collect used bottles, cans, and newspapers. Recycling includes collecting recyclable materials that would otherwise be considered waste, sorting and processing recyclables into raw materials such as fibers and manufacturing raw materials into new products.
  • Re-buy – Make an effort to purchase things that are made through recycling. When purchasing furniture, look for items that are made from reclaimed wood. When buying paper for kids school work, computer printer paper, holiday cards, or anything else, make a point of purchasing recycled paper products. Instead of buying clothing at full retail price, shop for second hand clothing. You will save a lot of money by doing so!
  • Rethink – Rethink the way you do things so that you do them in an eco-conscious way at all times. Instead of driving to work alone, consider taking the bus or going in a carpool. Walk or ride your bike when you're only going a short distance. Plan your shopping trips and errand runs so that you can do everything on one day, and do it in a way where you can save time and gas.

Other ways to "think green" include growing your own food, composting yard waste and food scraps, or by participating in local recycling programs. Join a group like Freecycle so you can share your unneeded and unwanted possessions with people who can use them. Likewise, you'll be able to get things you need or want for free.

Earth Day teaches people that the planet belongs to everyone, so everyone is equally responsible for protecting it. Although Earth Day is an environmental celebration, our team at Simsbury Pediatric & Adolescent Dentistry wants to remind you that you don't have to wait until then to make changes that will allow you and your family to live a greener life.

Happy Earth Day from the team at Simsbury Pediatric & Adolescent Dentistry.

Thumb Sucking, Pacifiers, and Your Baby's Teeth

March 10th, 2021

 

Sucking is a common instinct for babies and the use of a pacifier or their thumb offers a sense of safety and security, as well a way to relax.

According to the American Academy of Pediatric Dentistry, the majority of children will stop using a pacifier and stop sucking their thumb on their own between the ages of two and four years of age. Prolonged thumb sucking or use of a pacifier can have dental consequences and needs be taken care of sooner, rather than later.

Many dentists favor pacifier use over thumb sucking because it makes it easier for parents to control and even limit the use of a pacifier. If thumb sucking lingers, the same strategies used to break the baby from using the pacifier can be used for thumb sucking.

Precautions

  • Try to find "orthodontically correct" pacifiers, as they may reduce the risk of dental problems.
  • Never dip a pacifier in sugar or honey to calm the baby.
  • Give your baby a bottle of water at bedtime, never juice.

Dental Complications

Long term pacifier use can lead to an assortment of dental complications including:

  • The bottom teeth leaning inward
  • The top teeth slanting outward
  • Misalignment of the baby’s jaw

The risk of any or all of these things happening is greatly increased if thumb sucking and pacifier use is sustained after the baby’s teeth start to come in.

Breaking the Thumb Sucking and Pacifier Habit

Most toddlers and children will stop sucking their thumb or using a pacifier between the ages of two and four on their own. However, if intervention is necessary here are a few tips to help your child break the habit:

  • Slowly decreasing the use of a pacifier can be effective for many children. This method does not work very well with thumb sucking.
  • Thumb sucking can be more difficult to break. Dr. Maryam Azadpur may recommend using an over the counter cream that you put on the child’s thumb; it doesn’t taste good and usually does the trick.
  • Rewards can also help with the process.
  • If these simple commonly used strategies do not work, there are oral devices that will prevent a child from sucking their thumb or a pacifier.

Talk to Dr. Maryam Azadpur and our team, as we have many tricks up our sleeves that will be effective in breaking your child’s thumb sucking or pacifier use.

Hello March!

March 8th, 2021

 

The arrival of March means spring is almost here. We can finally bid farewell to wintery days and start looking forward to an abundance of warmer days just around the corner! As we transition to the new season, winter-themed decorations are taken down and spring ones are put up. The landscaping outside is tended to and new plants are planted. While we are always diligent about staying clean and sanitized, at spring time we dig deeper and go through files, clear out drawers, clean out old paperwork, etc. Feels good to freshen up!

This year is extra special for us because we are celebrating 20 years in this location! Of course, the pandemic has curtailed many of our plans to celebrate the 20 wonderful years of serving the dental needs of our families in the Farmington Valley, but we will definitely be marking this major milestone in some fun fashion. We are also currently in the midst of redesigning our website with a whole new fresh look to reflect who we are and to be able to better connect with our patients and their families online.

Our team also has another reason to celebrate as almost everyone has had their second vaccination as of right now. Now that the majority of our team is vaccinated, we will be seeing lots of new patients that we were not able to see over the winter, especially our littlest ones who are more vulnerable since they don't generally wear masks! We have set aside certain days just for them!

As the days gradually warm up, the team looks forward to spending more time in the outdoors participating in some of their most favorite activities like walking, bike riding, playing outside with the little ones in our families, day trips to lakes or beaches, getting gardens ready for spring planting, opening windows to let in the fresh air. The list is endless!

The spring is also a great time to refocus on our health. Eating healthy foods keeps not only our bodies strong but also our teeth! We suggest staying away from sugary treats as they can cause cavities. Brush and floss regularly to help reduce plaque build-up on teeth. This, in turn, can help reduce plaque in our bodies --- especially our hearts! Also, make sure you are drinking plenty of water on a daily basis. Drinking water has oral health benefits you might not realize such as washing away acids and food from our mouths.

We wish you a warm and safe start to your Spring season. We hope to see you and your family in our office again soon.

(860) 658-7548
381 Hopmeadow St #202
Weatogue, CT 06089