What are the different kinds of dental insurance plans available in the market?
There are two major types of dental insurance namely, indemnity plans and managed care plans. Depending up on the nature of dental care you need and on the basis of the advantages and disadvantages you can go for the best suited type of dental insurance:
- Find more information on indemnity plans
- What are the major categories of managed care plans?
- Is it possible for you to choose your own dentist in case of a dental indemnity plan?
If you are considering which dental insurance plans might be best for your family, you may be aware that two major types of dental insurance exist: indemnity plans and managed care plans. Whether you select dental indemnity insurance, individual indemnity dental insurance, or some type of managed care plan, these choices will affect your health and the health of your family for years to come. For this reason, it is essential that you make an informed and careful decision about which dental plan to select.
Indemnity (fee_for_service) plans
Dental indemnity insurance is often favored by patients who want more choice about where to seek dental care. While managed care dental plans usually require you to get dental care from specific professionals, with indemnity dental coverage, you will be able to select which dental professional you want to see. With these plans, you may have more paperwork to fill out, as with these insurance plans you will pay for dental care yourself and then submit claims forms to your dental insurance provider. Your provider will reimburse you for part or all of your dental care, depending on your agreement. In some cases, you may only have to pay a deductible. Your insurance provider will pay for up to 100% of “usual” costs associated with dental care.
Managed care plans (PPOs, POSs, and Dental HMOs (DHMOs))
Many patients like managed care plans because these plans have very low costs. Although with these dental insurance programs you need to select your insurance provider out of list of providers, you will not have to pay your dental fees up front. Your insurance provider will pay for some fees and the dentist will offer special discounts to you as part of your insurance coverage. In general, there are a few popular types of dental managed care plans:
- Dental Preferred Provider Organization (PPO) Insurance Plans
This type of insurance plan uses a group of dentists who are part of a network. Each dentist in the network offers discounts to clients who are part of the same insurance company. With this type of dental insurance, you can see dentists outside the accepted network, but it will often cost you a lot more to do so. - Dental Health Maintenance Organization (DHMO) Insurance Plans
This type of dental insurance also has a group of dentists who are part of a network. However, these dentists offer a discount to clients who are part of the same insurance company because the insurance company offers them a prepayment. In general, if you rely on family dental DHMO or individual dental DHMO plans, you can only go to dentists in the network. If you do not, you get no dental coverage. - Dental Point of Service (POS) Insurance Plans
This type of dental insurance offers you the option of using a dentist who is part of the insurance plan network or the option of seeing a dentist who is not part of a network. When you sign up for a POS plan, you decide which type of dental care professional will see, although you can change your mind when you make your appointment to get dental care. In most cases, patients will pay more for using dentists who are not part of a network.
Continue to : Advantages of Dental Indemnity Insurance