Co-written by: Dental Jet. There are two types of dental insurance plans: indemnity plans and managed care plans. Several options are available within each category, and people can thus choose the variant that best suits the health condition, the income and the individual needs. Whichever you go for, you need to consider all the aspects seriously because the entire family could bear the consequences of a faulty decision. With managed care plans you can only go to doctors that are part of the insurance network.
The cheap rates of managed care plans turn them into the insurance attractions for many clients, yet, they bring limitations that people are often unaware of. At least one doesn't have to pay for the costs of the treatments up front. Discounts are also included as part of the insurance coverage and thus you will pay a very small amount or nothing at all.
No matter the plan you go for, the costs will be a lot higher if you visit a dentist outside the network.
This independent selection of the doctor is possible with the indemnity dental insurance plans. The downside with these plans comes from the huge amount of paperwork involved, plus, you pay directly to the dentist and then file the claim for reimbursement to the dental insurance provider.
Depending on the agreement, you'll get back all of your money or only part of it.
Another element that ought to be consider is the fact that many dental insurance plans include an yearly maximum, or annual dollar maximum. This is the maximum sum of money that the dental insurance company pays for a patient's dental services within a year. The coverage usually doesn't extend higher than $1,000 per year. Those plans that do not include a yearly maximum are usually more costly in terms of annual fees charged from the customer.
Make sure to always read the contracts well, so that you may know what the dental insurance plans cover and what they don't. For example, cosmetic interventions are paid out of the pocket directly, since virtually no company will pay for them. The regular kind of procedures you are safe with, count all sorts of routine procedures from fluoride treatments and regular cavity filling to cleanings, X-rays and checkups. Very complex treatments are seldom fully covered by the insurance, and in the happiest of situations you will pay only partly.
The cheap rates of managed care plans turn them into the insurance attractions for many clients, yet, they bring limitations that people are often unaware of. At least one doesn't have to pay for the costs of the treatments up front. Discounts are also included as part of the insurance coverage and thus you will pay a very small amount or nothing at all.
No matter the plan you go for, the costs will be a lot higher if you visit a dentist outside the network.
This independent selection of the doctor is possible with the indemnity dental insurance plans. The downside with these plans comes from the huge amount of paperwork involved, plus, you pay directly to the dentist and then file the claim for reimbursement to the dental insurance provider.
Depending on the agreement, you'll get back all of your money or only part of it.
Another element that ought to be consider is the fact that many dental insurance plans include an yearly maximum, or annual dollar maximum. This is the maximum sum of money that the dental insurance company pays for a patient's dental services within a year. The coverage usually doesn't extend higher than $1,000 per year. Those plans that do not include a yearly maximum are usually more costly in terms of annual fees charged from the customer.
Make sure to always read the contracts well, so that you may know what the dental insurance plans cover and what they don't. For example, cosmetic interventions are paid out of the pocket directly, since virtually no company will pay for them. The regular kind of procedures you are safe with, count all sorts of routine procedures from fluoride treatments and regular cavity filling to cleanings, X-rays and checkups. Very complex treatments are seldom fully covered by the insurance, and in the happiest of situations you will pay only partly.
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