Indemnity or Managed Care Dental Plan – Which One to Choose?
Tuesday, September 22nd, 2009 An Anthem Dentist's Blog by Anthem Arizona Dentist
Dental care is very important and choosing the right plan will help you maintain your pearly whites in good condition. There are many dental plans to choose from depending on your needs but the best way to get the most out of a plan is to fully understand first the dental plan coverage and see if it would cover your dental necessities.
There are two major types of dental insurance – indemnity and managed care plans. Each type has its own pros and cons so it is important to determine your dental needs first and see which of the two will suit you to make sure that you will be able to maximize the dental plan you will choose.
If you want to make your own choices regarding your dental care, then you might want to consider getting an indemnity plan. This type of insurance lets the plan holder select the dental care provider they want to go to. The usual process is that the plan holder will pay first for his or her dental care services and then submit claim forms to the insurance company to reimburse the payment made.
This process usually works best for transactions between the dentist and the plan holder because some dentists do not have smooth relationships with insurance providers. The downside, though, is that the plan holder might go through a lot of paperwork. Furthermore, there might be instances that the provider does not agree that the dental work should be covered by the insurance. This means a long process before the plan holder gets to reimburse the up-front fee he or she paid for.
On the other hand, if you want lower costs for your dental care you should try asking about managed care plans. These plans have very low costs and do not require that much paperwork. The usual process for these kinds of plans is that the insurance company will pay the dental care provider and then the dentist will give the plan holders a discount as part of the insurance coverage. The downside of this insurance plan, though, is that the insurance company is the one to pick out which dental service providers that the plan holder can visit to get dental care. If the plan holder chose to get dental care from a dentist not specified on the insurance company’s list, then the dental care service won’t be covered by the plan and the plan holder will have to pay for the services from his or her own pocket.
Whether which type of plan you choose to get, dental plans usually depends on your budget and dental needs. It is wise to determine first your needs and how much you are willing to spend on your dental plan before you go ahead and sign an agreement with an insurance company. Understand first all the insurance coverage and exclusions so you won’t be caught off-guard in any situation. This way, you are sure to get what your money is worth and at the same time keep those pearly whites healthy.
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Dr. Wolf himself had called me later to check up on me