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SolveYourProblem Article Series:
Health Insurance

     
    

Dental Plans for Your Health Insurance
    

One’s general health includes dental health and care, as well. Employers and other plan sponsors offer dental benefits for a variety of reasons and most at really great prices. Offering a dental benefits plan makes economic sense, it helps save money and prevents other health related costs and expenditures. A frequently overlooked reason for work related absences or poor work performance is dental disease and/or discomfort. All those lost days by employees is lost money for the company.

What do employers need to do about this? Quality dental benefits plans can aid in the recruitment and retention of employees, it is the hardest insurance to find sometimes. Dental is consistently cited as one of the most sought after employee benefits and the most inexpensive to both employee and employer to have. Most people cannot afford regular check-ups, so they have more issues than those with dental insurance who can be seen for routine cleanings and check-ups. Most dental needs and treatments are predictable, non-catastrophic, low cost and low risk, but expensive if you aren’t covered. Dental disease is most often preventable; with the exception of damage due to an accident. Treatment begins with relatively low-cost diagnostic procedures, such as exams, cleanings, and x-rays. If decay or disease is detected, the sooner it is treated, the less expensive that treatment will be and the person is less likely to have any advanced issues. The dental needs of employees can be very much overlooked. Group policies can offer most services to people for very little money per pay period and save on a lot of time out of work.

There are some important things to consider before selecting or changing a dental plan. Some plans require patients to choose a dentist from a limited list of dentists, so check to see if your dentist is on the list. If not make sure you get a recommendation you’re your own dentist or close friend. Sometimes just telling your dentist that your insurance is making you leave will prompt them to add that type onto their list of accepted insurances. Dental plans are typically business arrangements between an insurance company and an employer, so see what can be done to have your dentist added. Most plans are designed to pay only a portion of your dental expenses, with preventive maintenance being the most covered portion of the plan.

In addition, carefully read a plan and know its limitations, there may be many services you need that aren’t covered at all or enough to warrant investment. If a plan doesn't cover a procedure that is recommended by your dentist, this does not mean that the treatment isn't appropriate or needed; it just means they aren’t going to pay. Some plans do not cover pre-existing dental conditions, such as missing teeth, gingivitis, and other mouth diseases. Make sure to see if your policy has these limitations. Even when you and your dentist agree on the appropriate treatment method for your condition, the contract provision of the dental plan may only pay a portion, or pay only for the least expensive alternative treatment as determined by the insurance company, so you could be forced into a procedure that won’t be as good and useful to you as time goes on.

Ask yourself the following questions before selecting a new dental plan:

  • Will you have the ability to chose your own dentist or only the pre-approved one on a list?
  • Who determines which treatment is good for the patient, the dentist or insurance company?
  • Does the plan cover all procedures, diagnostic, preventive and emergency services? Covering things like sealants and fluoride treatments, which may save patients money in the future. Will it provide for full-mouth x-rays and major dental work if necessary? Does the plan cover crowns and bridges, braces, root canals, oral surgery and treatment of periodontal diseases if those are needed? Would you be able to get dentures or other dental devices if need be?
  • Will the plan allow for a referral to a specialist if necessary? If so, will the dentist be limited to a list of specialists from which to choose or can you go to anyone?
  • How does the plan provide for emergency treatment, such as abscessed teeth? What provisions are made for emergency care when you are away from home and need to be seen right away?

Click here to to view health insurance quotes, compare plans side-by-side and apply for the most affordable health insurance within your budget. I did this myself (June 17, 2011) to change my health insurance policy. Saved me $84 per month (or $1,008 per year). It's my SolveYourProblem recommendation.

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by : 2006

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