Dental Fees
Fortunately, in these times, a lot of patients have dental insurance. Insurance is, on the face of it, a good thing. It minimizes out-of-pocket expenses for treatment and encourages people to keep up with the dental care they need. But most dental insurance plans do not pay 100%. There simply is no perfect insurance plan.
Part of the problem is what's called "usual and customary fees." Insurers have come up with a fee structure intended to reflect the "average" cost of "average" dental care. Urban residents may be allowed different compensation than people who live in rural areas. Reimbursement for a crown may be a certain percentage of the actual cost (the dentist's charge to you), and another percentage for a cleaning. Patients are sometimes puzzled at the discrepancy between insurer reimbursement and actual dental fees.
Of course your dentist can't dictate the amount your dental insurance plan decides is "average." And they don't ask your dentist what cost he or she thinks is fair. The dilemma is this: your dentist can't, in good conscience, recommend less than quality dentistry, even though your insurer may impose an unreasonable ceiling on treatment. It's a rock and a hard place.
For this reason, you should take objections directly to the insurer or compare dental plans with your employer. If enough people make enough noise, the reimbursement picture might improve.
Ask your dentist to sit down with you and go over your dental plan and your dental financing options. He or she will try to make your dental insurance plan work to your advantage. Your dentist cares about your finances, and your health.
+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.
Choosing Family Dental Insurance For Your Child
I'm sure you've noticed that you and your child are two distinct people with entirely different needs, including dental health needs. When employers label children as dependents, however, they often see them as extensions of their parents. That means when it comes to awarding family dental benefits, you must be on the same policy. It's important to be sure you select a dental plan that works for both of you. Here are some things to consider when choosing your dental insurance carrier:
- Your child has the right to see a pediatric dentist. Pediatric dentists are specially trained to address the unique dental needs of young children, such as early preventive care and alleviating dental anxiety. If your family dental insurance plan only allows your child to see a pediatric dental specialist after an unsuccessful visit to a general dentist, consider making a change.
- What is the extent of your preventive care coverage? Children's teeth are in a critical stage of development. Any potential problems should be identified and resolved as early as possible. It's also crucial to establish positive dental care habits right from the start. This means dental exams early and often. If your dental plan puts unreasonable restrictions on a child's early dental care, look for dental coverage elsewhere.
- What other procedures are covered? As mentioned, your child's teeth are only just developing. If they do not grow properly, your child can experience pain or misshapen facial structure. Special care, such as orthodontics, is often required to correct the problem, and is often medically necessary. If your family dental insurance plan considers this specialized care to be cosmetic, and therefore not covered, look for something better.
- What is the extent of your emergency care coverage? Kids have accidents - it's a fact of life. Not only are they generally more active than many adults, playing sports and climbing trees, but many have not yet developed refined coordination. That means plenty of falls or balls to the mouth. If your child loses a tooth or experiences some other sort of dental trauma, be sure your plan allows you to seek immediate emergency care without anybody's permission.
- It's important for you to have a reasonable amount of control over your child's dental care. If your dental insurance company makes it difficult to choose or change dentists when you feel it's necessary, or allows you very little say in whatever treatment is performed, shop around.
Insurance may seem like a costly investment, but a family dental plan that truly fits you and your children's needs is well worth it. The preventive and emergency care you'll receive will ensure all of you will enjoy good oral health for a lifetime.
+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.