Ameritas Dental Provider in Hillsboro, OR – East Wind Dental Care
Welcome to East Wind Dental Care, a trusted Ameritas dental provider in Hillsboro, Oregon. We accept Ameritas dental insurance and are committed to helping you maximize your benefits while receiving comprehensive, high-quality dental care.
What’s Covered by Ameritas Dental Insurance?
Ameritas dental plans typically provide coverage in three main categories:
- Class I – Preventive & Diagnostic (100% Coverage): Routine oral examinations (twice yearly), prophylaxis cleanings, fluoride treatments for children, dental X-rays (bitewing, panoramic, periapical), oral cancer screenings, sealants for children and adolescents
- Class II – Basic Restorative (80% Coverage): Amalgam and composite fillings, simple tooth extractions, emergency dental care, non-surgical periodontal treatment (scaling and root planing), recement crowns or bridges, space maintainers
- Class III – Major Restorative (50% Coverage): Crowns (all types), bridges (fixed and removable), complete and partial dentures, root canal therapy, surgical extractions, periodontal surgery, dental implants (if covered by plan)
Coverage percentages may vary based on your specific Ameritas plan. Our office will verify your exact benefits before treatment.
How to Maximize Your Ameritas Dental Benefits
- Take Advantage of Preventive Care: Ameritas covers two cleanings and exams per year at 100% with no deductible. Regular visits prevent larger, more expensive problems.
- Understand Your Plan Structure: Ameritas offers various plan types with different coverage levels and network requirements. Knowing your plan details helps you maximize benefits.
- Know Your Annual Maximum: Most Ameritas plans have an annual maximum benefit (typically $1,000-$2,000). Track your usage throughout the calendar year.
- Use Benefits Before Year-End: Dental benefits don’t carry over to the next year. Schedule needed treatment before December 31st to avoid losing unused benefits.
- Request Pre-Authorization for Major Work: For expensive procedures like crowns or bridges, we can submit pre-treatment estimates to Ameritas for approval and accurate cost projections.
- Meet Your Deductible Strategically: If you need multiple treatments, consider scheduling them together to meet your deductible once and maximize subsequent coverage.
- Split Treatment Across Benefit Years: If you’re close to your annual maximum, consider scheduling remaining treatment in the new benefit year.
- Stay In-Network: As an Ameritas provider, we offer negotiated rates that reduce your out-of-pocket expenses.
Common Procedures and Ameritas Coverage
| Procedure | Ameritas Coverage | Patient Cost |
|---|---|---|
| Comprehensive Exam | 100% | $0 |
| Prophylaxis Cleaning | 100% | $0 |
| Fluoride Treatment (children) | 100% | $0 |
| Bitewing X-rays | 100% | $0 |
| Composite Filling (1 surface) | 80% | 20% + deductible |
| Root Canal Treatment (molar) | 50% | 50% + deductible |
| Porcelain Crown | 50% | 50% + deductible |
| 3-Unit Bridge | 50% | 50% + deductible |
| Complete Denture | 50% | 50% + deductible |
Tips for Ameritas Dental Patients
- Verify Benefits Before Your Visit: Call us at (503) 648-8971 before scheduling major treatment. We’ll contact Ameritas to verify coverage, deductible status, and remaining benefits.
- Bring Your Ameritas Card: Always bring your Ameritas dental insurance card and valid photo ID to every appointment.
- Understand Waiting Periods: Some Ameritas plans have waiting periods for basic and major services (typically 6-12 months). We’ll help you understand any limitations.
- Ask About Treatment Alternatives: If cost is a concern, discuss alternative treatment options with our dentists that may better fit your budget.
- Review Your EOB: After treatment, carefully review your Explanation of Benefits from Ameritas to ensure proper claim processing.
- Schedule Regular Preventive Visits: Consistent preventive care catches problems early, avoiding costly major procedures.
- Use HSA/FSA for Out-of-Pocket Costs: Pay for deductibles and non-covered services with pre-tax dollars from health savings or flexible spending accounts.
What to Bring to Your Appointment
- Ameritas dental insurance card (with member ID and group number)
- Valid photo identification (driver’s license or state ID)
- Complete list of current medications and supplements
- Medical history updates, including allergies and health conditions
- Payment method for copays, deductibles, or non-covered services
- Previous dental records (if new patient)
Frequently Asked Questions About Ameritas Dental
Q: Does East Wind Dental Care accept Ameritas dental insurance?
A: Yes! We are a participating provider with Ameritas and proudly accept their dental insurance plans.
Q: How many cleanings does Ameritas cover per year?
A: Most Ameritas plans cover two routine prophylaxis cleanings per calendar year at 100% with no deductible.
Q: What is the typical deductible for Ameritas plans?
A: Deductibles commonly range from $50-$100 per person annually. Preventive services are typically deductible-free.
Q: Does Ameritas cover dental implants?
A: Coverage for implants varies by plan. Many Ameritas plans offer 50% coverage for implants, while others may exclude them. We’ll verify your specific benefits.
Q: Will you file my Ameritas claim?
A: Absolutely! We file all insurance claims electronically on your behalf and handle all paperwork with Ameritas.
Q: How quickly does Ameritas process claims?
A: Electronic claims typically process within 10-15 business days. You’ll receive an Explanation of Benefits showing how your claim was processed.
Q: What if I need treatment beyond my annual maximum?
A: We offer flexible payment plans and accept CareCredit financing to make dental care affordable even after exhausting your annual benefits.
Q: Can I see specialists with my Ameritas plan?
A: Most Ameritas plans don’t require specialist referrals. We can help coordinate specialist care when needed.
Schedule with Your Ameritas Benefits Today
Your smile is an investment in your health and confidence. At East Wind Dental Care, we make using your Ameritas dental benefits easy and stress-free. Our knowledgeable team will verify your coverage, maximize your benefits, and provide transparent, upfront pricing for all services.
Don’t let your dental benefits expire! Call (503) 648-8971 or book online to schedule your appointment today.
East Wind Dental Care – Your trusted Ameritas dental provider in Hillsboro, Oregon.
Contact Us Today
Have questions or ready to schedule? Contact East Wind Dental Care in Hillsboro, OR.
Written by Dr. Merat Ostovar, DDS
Doctor of Dental Surgery | 15+ Years Experience
Aloha Modern Dentistry | Beaverton, Oregon
Last updated: November 28, 2025