How Discount Dental Plans Benefit Members

By Nelda Powers


Discount dental plans allow members to get discounts after using the services of a dentist. Plan participants get to choose the dentist to visit from a list of participating dentists. These plans are different from dental insurance in that members do not pay monthly premiums. They only pay a single yearly fee and they can visit any dentist listed in a plan to enjoy discounts.

Participating dentists benefit by having their listing displayed regularly to a large list of potential patients. They therefore agree to charge lower service fees. The discounts in these plans vary. Typically, you will be reimbursed based on the class of services you use. For instance, diagnostic and preventative services may be covered at a hundred percent of the cost of the procedure, while basic restorative services may be covered at eighty percent of the procedure.

With many dental plans, you may save a significant amount of money on services like annual teeth cleaning and annual checkups. The main benefit of these programs is that they enable you to visit a dentist even when your budget is tight. They do not pay for the services you receive. Instead, they allow you to get discounts on the procedures you undergo at the practice of a dentist.

To participate in these programs, dentists are usually required to list their fees. This lets patients know if a particular professional is charging too much. These programs are also beneficial in that they allow members to include their relatives in them. People who are not immediate family members of a patient can benefit.

Discount programs usually have certain defined expenses for members like deductibles, copayments and coinsurance. These cost sharing elements help keep fees at affordable levels to control costs. There can be limitations on how many times you can receive a particular service. Your age can also determine the kind of services that can be discounted.

Dental programs also usually have a yearly dollar limit on certain services. After you reach your yearly limit, you cannot enjoy reduced rates on services until the start of the upcoming plan year. However, if you only use routine care services such as exams, X rays and cleanings, it is highly unlikely that you will reach your yearly maximum.

It is essential for members of dental programs to get estimates about the cost of services from their dentist. In this way, they will not get confused after they receive a bill from the professional. They can request their dentist to provide their insurers with a treatment plan so that they can know the amount of money they can save for being in a dental plan. Dentists may also be asked to provide an insurance company with X rays and other supporting documents so that their services can be pre approved.

Your insurance company may provide you with an estimate showing how much will be paid by the plan, the charges you have to pay, the amount that remains toward your deductible and whether you are close to reaching your benefit maximum. It is essential to choose discount dental plans that cover the services you need and also include the dentists you would like to visit. The providers of these programs offer detailed descriptions outlining service coverage, limitations, requirements and exclusions.




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