DENTAL INSURANCEBy:Carolina Jiménez GonzálezEilyn Matamoros Molina

DENTAL INSURANCE

Is an insurance coverage for individuals to protect them against dental costs. It

insures against the expense of treatment and care of dental disease

and accident to teeth.

The most common types of dental insurance plans are:

Preferred Provider Organizations (PPO) Dental Health Maintenance Organizations (DHMO)

PREFERRED PROVIDER ORGANIZATIONS

PPO falls somewhere between an indemnity plan and a dental health maintenance organizations.

This plan allows a particular group of patients to receive dental care from a defined panel of dentists.

The participating dentist agrees to charge less than usual fees to this specific patient base, providing savings for the plan purchaser.

INDEMNITY PLANS…

This type of dental plan pays the dental office on a traditional fee-for-service basis. A monthly

premium is paid by the client and/or the employer to an insurance company, which then

reimburses the dentist for the services rendered.

An insurance company usually pays between 50% - 80% of the dental office (dentist) fees for

a covered procedures; the remaining 20% - 50% is paid by the client. 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.

DIRECT REIMBURSEMENT PLANS…

This is a self-funded benefit plan — not insurance — in which an employer pays for dental care with its own funds, rather than paying premiums to an insurance company

or third-party administrator.

You, the patient, pay the full amount directly to the dentist, then get a receipt detailing

services rendered and the cost, which you show to your employer. The employer

reimburses you for part or all of the dental costs, depending on your specific benefits.

DENTAL HEALTH MAINTENANCE ORGANIZATIONS

This type of dental plan provides a comprehensive dental care to enrolled patients through designated provider office (dentist). A Dental Health Maintenance Organization (DHMO) is a common example of a

capitation plan.

The dentist is paid on a per capita (per person) basis rather than for actual treatment provided. Participating dentists receive a fixes monthly

fee based on the number of patients assigned to the office.

BENEFITS…

Dental insurance is a handy service to have when major problems happen. It gives you instant access to a

dental professional that can perform the necessary tasks to improve your dental health. Usually, you can just present your dental insurance card to a dentist

office and all of your included benefits will be verified. With dental insurance, you won't have to pay the full

cost of a pricey dental procedure.

THANKS!!!