Office Visit Co-payments, Dental Co-insurance and Plan Deductibles
What is an office visit co-payment and co-insurance?
An office visit co-payment is a fixed dollar amount or a percentage that you pay for each Family Dental Insurancedentist visit or for each dental service provided. For example, with some plans you may pay a fixed amount such as $5 or $10 per visit. Other plans will charge you a percentage of the total fee - or dental co-insurance -- for the visit. So if your co-payment is 10% and the dentist visit was $200, you would pay 10% which, in this case, would be $20.
What is a dental insurance deductible?
A deductible is the amount of annual dental expenses that a dental plan member must pay before the dental insurance plan will begin to cover expenses. For example, if your plan has a $50 deductible, you will pay the first $50 of your dental expenses before your dental plan begins paying the expenses. Only expenses for covered services apply towards the deductible. For example, if you paid $1,000 for orthodontic work that was not an expense covered by the plan, then the $1,000 will not apply toward your annual deductible.
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What Are the Best Dental Insurance Plans for Me?
Although there is no one "best" dental insurance plan, some plans will be better dental coverage than others for you and your family's dental needs.
Dental plans will primarily differ in how much you have to pay.
Although no plan will pay for all the costs associated with your dental care, some plans will cover more than others.
With any dental insurance plan you will pay a basic premium, usually monthly, to buy the dental coverage.
In addition, there are often other payments you must make. These payments will vary by dental insurance plans but essentially are deductibles, co-payments, and co-insurance.
Here's a list of key questions to consider in selecting from a group of dental insurance plans that best meets your coverage needs:
- How much will it cost me on a monthly basis?
- Are there deductibles I must pay before the insurance begins to help cover my costs?
- After I have met the deductible, what part of my costs are paid by the plan?
- What dentists are part of the dental insurance plan?
- Are there enough of the kinds of dentists I want to see?
- Where will I go for care?
- Are these places near where I work or live?
- If I use dentists outside a plan's network, how much more will I pay to get care?
- Will my dental coverage be extended?
- Are there any limits to how much I must pay in case of major illness?
+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.