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Dental insurance company offers traditional dental insurance plans and fee for service options for individudals and families


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dental discount plans, dental dental

Highway insurance deductibles require the insured (the person who is covered under a health insurance policy) to pay a certain amount toward his health coverage before the insurance company has to begin paying under the health insurance policy.   An insurance deductible is the amount of loss that you pay out of your own pocket, even if you have insurance. 

  • The insurance company considers the amount of the health insurance deductible when determining how much the premiums for the health insurance coverage will be.  If you want to lower the amount of money you pay for health insurance coverage, consider asking for higher health insurance deductibles.  An insurance deductible is the amount of loss that you pay out of your own pocket, even if you have insurance. 
     

  • One of the reasons an insurance deductible is in place is to discourage people from putting in small claims in abundance.  When you are deciding on your insurance deductible, a general rule of thumb to remember is to choose the highest insurance deductible amount you can afford.  If your dental plan has a deductible, it means you pay that amount toward your care before the dental plan begins to provide benefits.  dental insurance deductible coverage following is a summary of dental insurance for Military Retirees:
     

  • The annual dental insurance deductible coverage is per person or 0 per family, with an annual maximum.  Many insurance companies offer coverage on a sliding scale dental insurance deductible health insurance data entry services. The type of health insurance deductibles can also vary, as individual amounts and family amounts. 

The insurance deductible is based on many factors.  It’s important to understand that an insurance deductible is the amount that the insurance policyholder has to pay before the insurance company will pay on the policy.  Since insurance is all about risk it is important to assess whether to have a higher insurance deductible which would save you money but you need to have that deductible amount available in case you have to pay the insurance deductible. 

As you investigate the best health insurance deductible, you need to understand all aspects of your health insurance policy.  When you are selecting a health insurance deductible you need to be aware of the different variables that determine your health insurance deductible such as age, pre-existing conditions and co-pays.  Ask your insurance agent to explain the details about your health insurance deductible as it relates to doctor visits and getting your prescriptions.  Once you have determined what you can afford, the next step is to figure out whether you are going to have a high or low medical insurance deductible.

 

Dental Insurance and Dental Plans types we offer:

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dental insurance, dental plans, discount dental plan Indemnity Plans

This type of dental plan pays the dental office (dentist) on a traditional fee-for-service basis. A monthly premium is paid by the client and/or the employer to an insurance company, which then reimburses the dental office (dentist) for the services rendered. An insurance company usually pays between 50% - 80% of the dental office (dentist) fees for a covered procedures; the remaining 20% - 50% is paid by the client. These plans often have a pre-determined or set deductible amount which varies from plan to plan. Indemnity plans also can limit the amount of services covered within a given year and pay the dentist based on a variety of fee schedules. Some typical features of these plans:

  • High deductibles before coverage begins (well-designed plans don't apply the deductible to preventive services)

  • Probationary periods on certain procedures that last up to a year

  • Annual dollar limit on benefits

  • Chose your own dentist

  • Your average monthly cost: $15 to $25

  • Companies selling these plans are regulated by state insurance departments.

dental insurance, dental plans, discount dental plan Dental HMOs

These insurance plans, also known as "capitation plans," operate like their medical HMO cousins. This type of dental plan provides a comprehensive dental care to enrolled patients through designated provider office (dentist). A Dental Health Maintenance Organization (DHMO) is a common example of a capitation plan. The dentist is paid on a per capita (per person) basis rather than for actual treatment provided. Participating dentists receive a fixes monthly fee based on the number of patients assigned to the office. In addition to premiums, client co-payments may be required for each visit. Some typical features of these plans:

  • Monthly premiums (some require you to prepay a year's worth)

  • Co-payments for office visits

  • Free preventive or routine care

  • You must select from an approved network of dentists

  • May have an initial enrollment fee

  • Annual dollar cap

  • Your average monthly cost: $5 to $15

  • Companies selling these plans are regulated by state insurance departments.

dental insurance, dental plans, discount dental plan Preferred Provider Organizations

Another true insurance plan, a Preferred provider organizations ( PPO) falls somewhere between an indemnity plan and a dental HMO. This plan allows a particular group of patients to receive dental care from a defined panel of dentists. The participating dentist agrees to charge less than usual fees to this specific patient base, providing savings for the plan purchaser. If the patient chooses to see a dentist who is not designated as a "preferred provider," that patient may be required to pay a greater share of the fee-for-service.  A group of dentists agrees to provide services at a deeply discounted rate, giving you substantial savings — as long as you stay in their network. Unlike the more restrictive DHMO, though, you can go out of network and still receive some benefits. Some typical features of these plans:

  • Monthly premiums

  • Annual dollar cap

  • You must stay within the approved network of dentists or pay higher deductibles and co-payments

  • Your average monthly cost: $20-25

  • Companies selling these plans are regulated by state insurance departments.

dental insurance, dental plans, discount dental plan Dental Discount

This type of dental plan is not insurance. The managing organizations have negotiated with local dental offices to establish a set price for a particular dental procedure and offer deep discounts (some from 20-60%) off the regular ADA pricing code. This plan has several advantages over traditional dental insurance plans. This allows a patient to receive immediate service for work without any waiting requirements and no limits on use.

dental insurance, dental plans, discount dental plan Direct Reimbursement Plans

A dental care plan now coming into vogue is the direct reimbursement plan. This is a self-funded benefit plan — not insurance — in which an employer pays for dental care with its own funds, rather than paying premiums to an insurance company or third-party administrator. You, the patient, pay the full amount directly to the dentist, then get a receipt detailing services rendered and the cost, which you show to your employer. The employer reimburses you for part or all of the dental costs, depending on your specific benefits.

Your company might reimburse 100 percent of your first $100 of dental expenses and then 80 percent of the next $500, and 50 percent of the next $2,000, with a total annual maximum benefit of $1,500. Or it might reimburse only 50 percent of your first $1,000, resulting in a $500 yearly cap.
Some typical features of a direct reimbursement plan:

    Some typical features of a direct reimbursement plan:

  • Neither you nor your employer pay monthly premiums

  • Freedom to choose any dentist

  • Typical employer cost: depends on the number of employees and

  • benefit caps

  • Benefits usually capped at $500 to $2,000 annually.

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2016-08-23T10:08:25+00:00 Harbor City - Los Angeles, California.