How CSEA Insurance Works

CSEA plan offers complete coverage for most necessary dental care needs. CSEA is a popular dental insurance plan in most parts of New York, with many companies in the region offering these benefits to their employees. Under this plan, patients receive complete coverage for preventive and restorative dentistry, orthodontics, and dental sedation. While most CSEA employee benefit plans have similar structures, employers may modernize their insurance plan to cater to their employees' needs.

• CSEA dental plan pays between $1500 and $2500 as the maximum annual benefit defined by the company.
• CSEA requires people to pay an annual deductible of $50 before they can cover anything.
• The CSEA offers 60% and 100% coverage for dental visits and procedures. 
• In case your active CSEA plan has a different policy, covering less than 100%, the provisions will indicate the terms.

Cleanings And Checkups

The CSEA dental plans allow two cleanings and checkups every year, twice every 12 months, or one cleaning and checkup every six months. All these three cases are not similar. Every year, the insurance will pay for two cleanings and checkups, which can be from January to December or July to June, depending on the company. The number of visits for the remaining two options is calculated from the last consecutive months—for example, the last 12 months to the day.

CSEA Coverage

CSEA employee benefits plan covers about 50% of major procedures such as crowns, bridges, and dentures. It covers up to 80% of minor procedures like fillings, extractions, root canals, and gum treatment. The actual percentage covered may sometimes be lower because the CSEA pays less fees for these dental procedures. 

It is worth noting that CSEA does not cover any cosmetic procedures. Since CSEA coverage varies depending on the company, one should always check with their carrier for information on specific benefits.

Do You Have an Active CSEA Membership?

CSEA insurance plan provides coverage to New York state, the federal court system, and local government employees and retirees for their medical and dental care needs. CSEA offers full coverage for necessary dental procedures; preventive and restorative treatments. At Shore Smiles Dental, we accept various kinds of insurance benefits to ensure you will not worry about the cost of your treatment. Contact us today to know if your insurance is accepted!