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Dental maintenance is an important part of oral
health and most
Group Health Insurance Plans do not include dental care in their coverage.
Dental benefit plans are structured to ensure
that the participant receives
coverage for, preventative, basic, and major services. Patients
are encouraged to get regular, routine care to prevent the onset
of serious disease.
Dental plans can be configured in a variety
of ways, including different coinsurance levels as well as varying
annual maximums and deductibles.
Employers can choose from a variety of dental
benefit plans
for their employees,
including:
Freedom-of-Choice Plan
Patients choose the dentist of their choice.
Preferred Provider Organization
A particular group of patients receives care
from a defined panel of dentists. These dentists agree to charge
less than the usual fees to this specific group providing savings
for the plan purchaser. A patient who seeks care from a non-designated
dentist may be required to pay a greater share of the fee for the
service.
DMO
A particular group of patients receive care only
from participating dentists. If a patient seeks care from a non-designated
dentist, the fee for the service will not be covered by the insurance
plan.
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