Dental Insurance - Indemnity
The Indemnity plan is where you choose your own dentist. Sometimes it is referred to as private dental insurance. This type of dental insurance plan pays the dentist on a traditional fee-for-service basis. A monthly premium is paid by the client, which then reimburses the dental office (dentist) for the services rendered.
The insurance company offers 50% - 80% of dental fees for a covered procedures; the remaining 20% - 50% is paid by the client. These plans often have a pre-determined or set deductible amount which varies by plan. Indemnity plans also can limit the amount of services covered within a given year and pay the dentist based on a variety of fee schedules. Get a quote for dental insurance now.
Here are some typical features of the Indemnity Dental Insurance plan:
- Chose your own dentist
- Your average monthly cost: $15 to $25
- A deductible will apply
- May have a probationary period on certain procedures that last up to a year
- Annual dollar limit on benefits
Dental Insurance - PPO
The Preferred Provider Organizations (PPO) plan is an option between the Indemnity Plan and a dental HMO. This plan allows a particular group of patients to receive dental care from a defined group of dentists.
Usually a participating dentist agrees to charge less for certain dental procedures; providing savings for the plan purchaser. If you choose to see a dentist outside this group you may be required to pay a greater share of the fee-for-service.
This type of plan can offer you a deeply discounted rate for services, giving you substantial savings — as long as you stay in their network.
Typical plans will have:
- Your average monthly premium cost: $20-25
- Annual dollar cap
- You must stay within the approved network of dentists or pay higher deductibles and co-payments
HMO Network – Dental Insurance
This type of dental plan provides a comprehensive dental care through designated provider dentist or dental group.
The dentist is paid on a per capita (per person) basis rather than for actual treatment provided. Participating dentists receive a fixed monthly fees based on the number of patients assigned to the office. In addition to premiums, client co-payments may be required for each visit.
Typical plans feature:
- Your average monthly cost: $5 to $15
- Free preventive or routine care
- Monthly premiums
- Co-payments for office visits
- You must select from an approved network of dentists
Call KIS Financial Kaplan Insurance Services today for a quote on dental care insurance; 240.603.6406. |