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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.

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.