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How to Choose Dental Insurance

We all know that getting any dental work (as simple as basic cleaning) can put a dent in your pocket with its cost. So, getting a dental insurance plan is a must for you and your family to stay away from cavities and also keep your dental budget in check.

Dental insurance can cover a range of dental work from routine teeth-cleaning to x-rays, crowns, root canals, etc. Dental insurance premiums are much lower than regular health insurance and if you use in-network dentists then 100% of your preventive dental work is paid for by the insurance company.

But selecting the right dental insurance plan is a bit tricky as certain policies limit you in what kind of work you can get done within that. We will give you a few tips and things to consider while opting for a dental plan.

Categories of Dental Insurance

Dental insurance comes in many forms and ranges from group to individual and family plans. They fall into three categories.

  • Indemnity dental plans: These are the most expensive ones and not so popular. In this plan, you mostly need to pay the entire amount and then file a claim. The insurer pays a cap amount as set by ADA. One advantage of this is that there is no concept of in-network and you can choose any dentist.
  • PPO or Preferred Provider Organization: PPO is the most common type of plan where dentists join a PPO network and negotiate with insurers on their fee structure. There are administrative costs associated with PPO and if you select an out-of-network dentist then you have to pay more from your pocket.
  • HMO or Health Maintenance Organization: In HMP you need to pay either a monthly or yearly premium and you are restricted to dentists within the network. You might also need to live within the area where you are offered the HMO. HMO is usually the cheapest among all plans.

Selecting the Right Dental Insurance

Before you zero down on the dental insurance company, there are certain factors you must consider as outlined below:

  • Check if you can get a group policy: Most people either get their dental insurance through their company or group coverage programs such as Medicaid, AARP, TriCare, and a few more. It is less costly to purchase group plans than individual insurance and they also offer more benefits. 
  • Look out for plans that cover your current dentist: If you have a family dentist then check out specific programs that his/her office accepts or ask them for recommendations. It is perfect if you find a plan that suits your family and is also supported by your dentist that you are comfortable with. With an indemnity plan, you can afford any density while with PPO and HMO you are restricted. So if you do not mind going to a new dentist and PPO or HMO is coming out to be cheaper, then you could go for them.
  • Consider restrictions placed on treatment options: Some dental plans restrict the types of dental work that they cover. They may only offer the most inexpensive forms of treatment even when another approach may be a better fit for your problem. If you need specialty work done then thoroughly analyze the list of treatments covered for each plan you consider.
  • Keep in mind all sorts of costs involved: Most people only look at the premium charges but there are many other charges to look into like co-pays, deductibles, etc. So even if a premium is the most affordable, the deductibles may be too high to suit your budget. So, discuss all the costs involved before deciding on your insurance plan.

To keep the dental health of your family in check, dental insurance is necessary. But when you purchase insurance be aware that major procedures are not covered under most plans, and even if they do, you will have to pay at least half of the charges. So it is a good idea to set aside money every month to help you with any major dental work.

If you are looking for Dental Billing Service in US, you can contact Capline Dental Services.