Dentistry of the contracting party with Alborz supplementary insurance Dr. Setareh Hashemi
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D Ye YOUNDY � � �∩sES � � � � � ‑gen ℗ê 1, heESòES q 0, Yeiii Station � ��������� � � � ��ff ｯ � ― ll ff −ïçï öçççççÀççççqçöçÈçÈçççöçça elderly diagram ò�EES � ����������a � ES ES ‑ ñ ES çççq. nce ES ″ ″ ″ ″ ″ ″ ″ ″ ″. Alborz supplementary insurance is one of the well-known supplementary insurances in Iran, which tries to reduce the financial burden of these costs for policyholders by providing coverage for medical services and some dental services. But this coverage is most effective when the policyholder goes to the clinics and dentists of the contracting party with this insurance, that is, Dr. Setareh Hashemi dental clinic, because otherwise the costs or part of it may not be covered and you will have to pay more directly. In this article, we examine all aspects related to dentistry contracted with Alborz supplementary insurance so that you can make the best choice for your oral and dental treatment and take full advantage of your insurance benefits.
Dental services contracted by Alborz supplementary insurance in Tehran with Dr. Hashemi
One of the first questions that policyholders have when visiting Dr. Setareh Hashemi's office is what dental services are covered by Alborz supplementary insurance? The answer to this question depends on the type of contract and insurance plan that you or your organization has joined. However, in many Alborz insurance plans, basic dental services are covered, such as:
- Visit and periodical dental examination Filling and repairing teeth
- Nervation (root treatment)
- Pulling damaged teeth
- criminalization and preventive services
- General repairs and simple prostheses
These services are usually provided in the form of a certain limit of obligations and including the deductible (the percentage that the policyholder must pay himself), so that referrals to the centers of the contracting parties have the most insurance benefits.
Why does dentistry contract with Alborz insurance?
Dental centers and dentists are parties to the contract with Alborz supplementary insurance in the sense that these clinics and dental offices have an official agreement with Alborz insurance company to provide certain services with an agreed tariff and direct payment or easy reimbursement conditions. Visiting these centers has many advantages:
- paying less than the patient's pocket
- Direct payment of costs by insurance (in many cases)
- Preventing administrative problems and delay in repayment
- Using dental services with guaranteed quality
If the insured goes to non-member centers, only a part of the costs may be covered or there is a need to send documents and request reimbursement, which will be a time-consuming process. But you, dear ones, directly benefit from Alborz insurance services at Dr. Hashemi's office.
How to find the Alborz contract dentist?
There are several ways to find dental centers contracted with Alborz supplementary insurance:
- Alborz Insurance official website: In the medical centers section of the contracting party, you can select the filter related to dentistry and see the list of centers in your city. In this list, you will also come across the office of Dr. Setareh Hashemi, so you can visit his office with ease.
- Contact Alborz insurance branches or agents: Insurance agents can provide you with the updated list and conditions of each center.
Inquiries from dental centers: Many clinics have mentioned on their website or contact page which insurances they are contracted with, including Alborz insurance.
Ceiling of dental obligations and limitations of the contracting party with Alborz supplementary insurance
One of the important points in using supplementary insurance is that the limit of obligations and the coverage of dental services may differ between different contracts. For example, in some contracts, the ceiling of obligations for dental services can be determined in different plans from relatively low amounts to higher amounts. These ceilings are usually determined for each year, and after its completion, the policyholder must pay the costs himself. Also, some specialized services such as orthodontics or dental implants may not be fully covered or have special conditions that the insurance may or may not undertake to pay for them.
Essential tips before going to the dentist of the contracting party with Alborz supplementary insurance!
Before visiting a dentist with Alborz supplementary insurance, note that:
- What is the type of insurance contract you have?
- What is the annual coverage ceiling?
- Are certain services such as implants or orthodontics covered or not?
- Chosen clinic really has Alborz insurance contract or not?
- Do you need a letter of introduction from insurance?
Answering these questions can prevent unexpected costs and make the treatment process smoother and safer.
Summary: How to get the best benefit from supplementary insurance?
Having Alborz supplementary insurance can make medical expenses, especially dental services, much more affordable, but the key to optimal use of it is to refer to the contracting party's centers and be aware of the coverage and limit of obligations. Knowing about the list of centers, inquiring about the type of services covered, following up on the ceiling and the amount of payment and getting a letter of introduction from the insurance are among the things that the insured should pay attention to in order to get the best benefit from the benefits of his insurance.
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