Pre-Treatment Estimate: What is it? How do I get one?


What is a Pre-Treatment Estimate?

A pre-treatment estimate will give you an idea of what a procedure may cost, how much your insurance may cover, and any out-of-pocket expenses you might be responsible for paying.

How do I get a pre-treatment estimate?

To get an estimate, simply tell your dentist you’d like a cost estimate for the procedure they are recommending. Your dentist will contact us and request a “Confirmation of Treatment and Cost” or a COTC.

This will allow you and your dentist to discuss treatment options that are within your budget, while also getting the most out of your dental benefits.

Don’t have a MySmile account? Sign up today and have your important benefit information – like your pre-treatment estimate – delivered right to your inbox!

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When should I ask for a pre-treatment estimate?

You can ask your dentist for a pre-treatment estimate at any time, but there are a few instances where requesting one may be beneficial:

  • If your dentist is recommending and extensive treatment plan or procedure
  • If you’re unsure if a recommended procedure is covered by your dental insurance
  • If you’re dentist is recommending a covered procedure, but you want to know how much you will be expected to pay out-of-pocket

How long does it take to receive a pre-treatment estimate?

If your dentist has access to our Provider Portal, they may be able to offer you a cost estimate right away. If they don’t, you will receive a notification in your MySmile account when the information is ready. Or you will receive your pre-treatment estimate in the mail.

How long is a pre-treatment estimate good for?

A pre-treatment estimate is good for 90 days* from the time you receive it. After that, you’ll have to ask your dentist for another one to ensure you’re getting the most accurate and up-to-date information.

See below for an example of you and your dentist will receive from us: 

pre-treatment estimate example