Dental Insurance: Differences Between In-Network and Out-Of-Network Plans
An in-network insurance plan dentist is within the approved network of dentists for a particular dental plan. Out-of-network dentists are not on the list.
If you visit a dentist within the network, the amount you will be responsible for paying may be less than if you go to an out-of-network dentist.
In many cases, the insurance company will not pay anything for services your receive from outside their network; however, there are exception to this.
As a general rule, Dental PPOs, POSs, and DHMOs have provider networks. Indemnity plans typically do not have networks; you go to whatever dentist you want.
Can I buy dental insurance plan for less if I buy directly from the insurance company?
No. Insurance companies charge the same premium whether the dental insurance plan is purchased directly from the company, through a broker, or online.
+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.
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.