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.
Managed Dental Plans
"Managed" dental care is a great idea.
However, many dentists strongly feel that it should be "managed" by their patients, for their benefit - instead of by a dental insurance company for its benefit.
If you are covered by a dental insurance plan, and if your employer offers you a range of different programs, the time you spend investigating benefits will be time well spent. Doing so puts your family in control of the quality of dental care you can demand and receive from your dental coverage.
Words can have very different meanings, depending on an individual's point of view. Some low cost dental insurance plans restrict patients to "preferred providers" of dental care. That sounds impressive until you recognize that providers are "preferred" by the insurer, not necessarily by you. And in many cases they're preferred, frankly, because they agree to sell their services at a discounted rate.
Review your own insurance options carefully: some dental plans allow participants to continue receiving optimum care from their current physicians and dentists. Some don't. It's your choice.
The idea of solving dental health problems "at no (or minimal) cost to you" is understandably appealing. But recognize the tradeoff. Simply put, it's "little cost and less choice."
+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.