Insurance
Get in-network Anthem dental benefits applied correctly, explained clearly, and filed for you at every visit in Mountain's Edge.
Elevate Dental is an in-network provider for Anthem, which means Mountain's Edge patients carrying an Anthem dental plan can see our team and have their benefits applied directly to covered treatment. Being in-network isn't just a label we display - it means we have agreed to Anthem's negotiated fee schedule, which typically keeps your out-of-pocket costs lower than care received from an out-of-network office.
Our front desk includes staff dedicated specifically to insurance coordination. Before any appointment involving treatment beyond a routine cleaning, we contact Anthem directly to confirm your active coverage, remaining annual maximum, deductible status, and any waiting periods or frequency limitations tied to your specific employer or individual plan. This verification happens before you're ever in the chair, not after.
We believe you should know what you'll owe before you agree to treatment, which is why every recommended procedure comes with a written, itemized estimate reflecting your Anthem benefits as we understand them from the carrier. Coverage details vary by group and individual policy, so we never promise a guaranteed dollar amount, but we do promise there will be no surprise invoices arriving weeks after your visit.
Anthem dental plans are generally structured into tiers of coverage, and most of the care provided at Elevate Dental falls into one of these recognized categories. Exact percentages and limits depend on your specific plan document, but the following gives you a realistic picture of how Anthem benefits are commonly applied.
Because coverage tiers and percentages vary between employer groups and individual Anthem policies, our insurance coordinators always confirm your specific plan codes and benefit levels before treatment begins, so there is never ambiguity about what applies to you.
A handful of insurance terms drive almost everything about your out-of-pocket cost. Understanding these terms helps you make sense of the estimate we hand you before any procedure.
This is the total dollar amount Anthem will pay toward your dental care within a plan year. Once it's reached, remaining costs become your responsibility until the benefit resets.
Many Anthem plans require you to pay a set amount out of pocket before coverage begins paying on basic or major services. Preventive care is frequently exempt from this.
As an in-network office, we've agreed to Anthem's negotiated rates for each procedure, which generally means a lower billed amount than out-of-network treatment.
Most Anthem plans allow two preventive visits per year at no or minimal cost. Exceeding this frequency may shift some cost to you.
After any deductible is met, Anthem typically covers a percentage of each procedure's cost, leaving the remainder as your co-insurance responsibility.
For larger procedures, we can submit a pre-treatment estimate to Anthem so you see projected coverage in writing before committing to a treatment plan.
Our billing specialists manage the paperwork directly with Anthem so you can focus on your treatment, not your inbox. Here's what happens behind the scenes at every visit.
We confirm your Anthem plan status, deductible, and remaining maximum before your appointment date, usually within a day or two of booking.
Your dentist completes a full evaluation and builds a treatment plan matched against your Anthem coverage categories and frequency limits.
You receive a written estimate showing projected Anthem payment and your estimated share before you agree to move forward.
After treatment, we file your claim electronically with Anthem the same day, with full clinical documentation attached to avoid delays.
We track the claim until it's settled, follow up on any request for additional information, and apply any adjustment to your account balance.
Choosing an in-network Anthem office changes how dental care feels financially. Patients tell us the difference comes down to a few consistent things.
We help you track how much of your annual maximum remains so unused dollars don't quietly expire at the end of your plan year.
You never mail a claim form to Anthem yourself. Our office submits and follows every claim electronically on your behalf.
Before agreeing to any major procedure, you see a written estimate reflecting your current Anthem benefit status.
For costs Anthem doesn't cover, we offer payment arrangements so treatment doesn't have to wait on your budget cycle.
Most Anthem dental plans operate on a calendar-year or plan-year cycle, and unused benefit dollars typically do not carry over once that cycle closes. If you've met your deductible and haven't touched your annual maximum, scheduling remaining treatment before year-end can mean the difference between Anthem covering a portion of a crown or bridge versus starting fresh against a new deductible the following January.
When a treatment plan involves multiple procedures, our team sometimes recommends phasing care across two calendar years, placing one phase late in the current plan year and the remainder early in the next. This approach can let you access two separate annual maximums for the same overall plan, reducing your total out-of-pocket exposure when done thoughtfully.
If you carry a Health Savings Account or Flexible Spending Account, those pre-tax dollars can bridge deductibles and co-insurance amounts Anthem doesn't cover. Pairing HSA or FSA funds with your Anthem benefit is one of the simplest ways to reduce the actual cash leaving your pocket for necessary dental work.
A few small habits can make a real difference in how far your benefits stretch over the course of the year.
Most plans include two preventive visits yearly at little to no cost. Skipping one leaves value on the table.
For any major procedure, request a written estimate before scheduling so there are no financial surprises.
We can tell you your remaining annual maximum at any point so you can plan treatment timing accordingly.
Share updated Anthem member ID and group numbers whenever your employer changes plans to avoid claim delays.
Unused annual maximum dollars typically do not roll over, so plan remaining treatment before your plan year ends.
Use pre-tax savings accounts to cover deductibles and co-insurance Anthem leaves to you as the patient.
Insurance documents can be dense and confusing. Our front office is always glad to sit down with your specific Anthem plan summary and walk through what it means for your care.
"We tell every Anthem patient the same thing before they sit in the chair: here is what the plan should cover, and here is what you'll owe. No guessing, no invoices weeks later that don't match what we told you."
Answers to the questions Mountain's Edge patients ask most often about using Anthem at Elevate Dental.
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10435 S Rainbow Blvd Ste A105 Las Vegas, NV 89178