¿Puedo usar mi seguro dental americano en Tijuana?

¿Puedo usar mi seguro dental americano en Tijuana?

Publicado porMelissa Gonzalezel 21 de mayo de 2020, 09:49 a.m.

¿Puedo usar mi seguro dental americano en Tijuana?

Todos hemos estado allí.Usted paga su seguro dental mes tras mes y cuando necesita un tratamiento dental, resulta que su copago es mucho más alto de lo que puede pagar cómodamente en este momento.Pero bueno, ¿qué opción tienes?

¡Resulta que sí tienes una opción!¡Muchos dentistas en Tijuana están certificados para trabajar con seguros estadounidenses!

¿Cómo sé si mi seguro dental es aceptado en Tijuana?

Tiene un par de opciones para averiguarlo:

·        Su seguro le proporciona una lista de dentistas.Su seguro puede brindarle a usted oa su empleador una lista de dentistas certificados que aceptan su seguro.Estas listas suelen incluir también direcciones y números de teléfono, a veces incluso sitios web.Hay una sección en estas listas que detalla si su seguro es aceptado fuera de EE. UU.

·        Búscalo en un motor de búsqueda de Internet.También puede simplemente buscar su seguro y las palabras clave "aceptado en Tijuana".Muchos dentistas tienen listas ordenadas de los seguros con los que trabajanen sus sitios web.

·        Ask your coworkers and friends. There’s nothing like first-hand experience, take advantage of it! Ask your coworkers and friends with your same insurance if they have used it in Tijuana. Chances are they will even recommend you a specific dentist!

How does my insurance work in Tijuana?

Now that you know that your insurance is accepted by Tijuana dentists, the next step is to call one and find out how insurances are handled by them. Each clinic works differently with insurances depending on the insurance type (HMO or PPO) so we will make a generalization of the most common cases:

·        Obtaining eligibility. Ideally you should call your dentist before setting an appointment so you can provide them with your information and they will obtain your eligibility. This information usually is:

o  Full name of the subscriber

o  Date of Birth of the subscriber

o  ID Number, Member ID or any number that distinguishes you as a subscriber. You can usually find it in your Insurance Card. If you don’t have it, you would have to provide your Social Security Number.


Once your dentist has this information, they will get in contact with your insurance in order to obtain your eligibility. This means they will know which procedures are covered and at which rate, so they can give you a plan treatment estimate during your first appointment.


·        Deductibles in procedures. In the case of Basic and Major treatments such as cavity fillings, root canal treatments or extractions, you will be charged a deductible. This is a once-a-year payment that “activates” your insurance that year. You can handle it as a personal deductible or a family deductible, depending on how many members of your family you wish to have treated. The amount will depend on your insurance plan, the most common amounts are $50 dlls per individual and $150 dlls per family, but it might be higher or lower depending on the plan you have.


·        Copayments in procedures.Depending on your plan coverage, some treatments might not be fully covered by your insurance. This means that you will have to pay an amount of the total cost of the treatment. The benefit of using your insurance in Tijuana is that these copayments will be considerately lower than in USA, so a $600 dlls copayment back home could be as low as $100 dlls in Tijuana, or even lower!


·        Claims filing and handling. Once the procedures are done, your dental clinic will handle the insurance claim for you. You won’t have to worry about ADA codes or teeth numbering, your dental clinic will handle that hassle for you. Depending on your type of insurance, this

Keep in mind that these points might differ from clinic to clinic, it’s best to call your preferred dentist to make sure of how they will handle your insurance. For example, some dentists charge you their full cost and file the claim so your insurance reimburses you directly their covered percentage, or they might give you the tools to make the claim yourself.

Tips and Tricks to use your insurance in Tijuana

·        While dental clinics in Tijuana don’t have a document to prove they’re certified to work with a certain insurance, the best way to know they’re certified is to see them in your insurance’s provider list.

·      * Before setting an appointment, check your doctor’s website to confirm that they work with your insurance.

·         *Have your Member card at hand when setting an appointment, you will need it to obtain your eligibility. If you have dependents, keep their date of birth in mind too.

·       *  If you know your yearly deductible, bring enough cash to cover it in case you decide to have a basic or major procedure done in that appointment. This might save you another trip!

·         *Bring some spare cash (around $200 dlls) in case you need to make some copayments. If you don’t use it with your dentist, perhaps you can enjoy some other things that Tijuana has to offer!


So, why spend more money in copayments when you could have your dental treatment done for less? Call Dental Studio and make an appointment now!

¿Ha comparado los montos de copagos entre dentistas de Tijuana y EE. UU.?¡Deja tu experiencia en un comentario a continuación!

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    Calle Quinta , Zona Centro
    Tijuana Baja California, 7974

    Tijuana Dental Studio

    Calle Quinta , Zona Centro

    Tel: (619) 955-6901

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