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Know About a Dental Plan Before You Buy Insurance Coverage

Everyone seems to want a dental plan, but many dental patients don’t fully understand what it can do for them. The following information is intended to provide an overview of dental insurance, the variations that exist and how to effectively use your dental plan coverage and benefits. Also be sure to ask your employer if they have a discount dental plan.

Dental insurance is most commonly found as an employee benefit that helps the member and his or her family to afford proper dental care services. While dental insurance plans for individuals are sold, they are often quite expensive due to the elective nature of most dental services. Employers and their human resource managers purchase most dental plans for the company’s employees.

Dental plan and medical insurance programs are quite different in their coverage and their philosophy. A dental insurance plan is designed to support preventive care the helps the patient to avoid major dental expenses, while medical insurance programs are designed to provide extensive coverage for major illness and diseases, but little or no coverage for preventive services.

A similar medical insurance plan would have nearly complete coverage for preventive and diagnostic services, but lower coverage for a life-threatening illness that kept the patient in the hospital for an extended period of time.

The coverage levels in a dental plan are generally expressed as a series of three numbers, for instance - 100 / 80 / 50 - which represents the percentages of coverage for Preventive and Diagnostic services, Basic Restorative services (simple fillings) and Major Services (crowns, bridges and dentures). For a significant dental treatment plan, the majority of the cost will be borne by the patient because of the 50% coverage and annual maximum benefits that may be as low as $1500. Be sure to look for affordable discount dental plans.

The method of payment for dental insurance plans is referred to as fee-for-service. That is, the dentist charges a separate fee for each service rendered and the charges are submitted to the insurance company on a claim. Traditionally, those claims were paper claims that were mailed to the insurance company, but today many of the claims are being sent electronically from the dentist’s computer to the insurance company’s computer and then paid electronically back to the dentist.

It is important to remember that dental services are nearly always elective. Most patients do not have any life-threatening dental issues. Despite the fact that dental disease can be painful, the risk of death or serious consequences from a dental problem is very low. While the pain could make the situation very urgent for the patient, once the pain is relieved, the subsequent treatment can be performed quickly or slowly depending upon the expectations of the patient and the availability of the dentist and your dental plan coverage.

by Dr. Fred Sharpe

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Five Things To Know When Choosing a Dental Insurance Plan

You've heard time and again that dental insurance can protect you and your family from dental and financial catastrophe. Even cheap insurance with minimal coverage will most likely save you big bucks over the course of your lifetime. A quick Web search will show that insurance is big business, and your options are becoming more expansive - and complicated - by the day. Not sure where to begin? Here are five things to consider when selecting family dental plans or an individual dental insurance plan that works for you!

1. Shop around! Finding a plan that works can be quite a feat. Even when employers offer dental insurance benefits to their employees and their families, it often isn't enough. This means you'll need to shop high and low until you find the best plan for your budget and lifestyle. The Internet has made all of this much easier - you have access to informational materials on a multitude of companies right at your finger tips. Be sure to read all the fine print; when it comes to your health, surprises are rarely a good thing.
2. Know your limits. All insurance plans have maximums - some good, others bad. A low maximum on your total benefits is never a good thing. That means if something major (and expensive) comes up, you may have to delve into your own pockets. A second maximum applies to your yearly deductible, which is the most amount of money you'd be expected to pay for your own care. A low maximum on your deductible is a great thing, so be sure to do the math when comparing policies.
3. Maintain control over your health. A dental insurance company may or may not have your best interests at heart, but, either way, they're somewhat removed from the situation. It's important that you have a say in your dental health. For starters, shouldn't you be able to choose your dentist, or at least have a plethora of options should one provider not work out? It's also important that you and your dentist have a lot of pull when it comes to making important decisions - an insurance company should never put unreasonable restrictions on the type of care you can receive.
4. Look for the 3 R's (sort of): PRevention, Restoration and EmeRgency Care. Having access to these three types of dental care is critical for lifelong oral health. Preventive care reduces the likelihood that you'll develop a dental condition that could have been avoided. Restorative care ensures that things that do go wrong, such as damaged or decayed teeth, will be fixed. Finally, emergency care you'll receive the proper care when you need it immediately, such as if your tooth is knocked out. Some family dental plans cover other specialty care, like orthodontics, so consider your needs and go from there.
5. The waiting game. Some insurance companies make you wait a certain period of time before they will cover certain procedures. If you need immediate attention, find a policy that supports it. If everything's in order, however, a minor wait may not be a major issue for you.

A carefully selected family or individual dental insurance plan could not only save you in a pinch, but ensure good oral health for life. It's critical, however, to do your research and read the fine print. Don't let your dental insurance company take you for a ride!

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.