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Do you have an estimate from your dentist and want to know
how to save on it
If you
have a treatment plan estimate and you are wondering how you
can get the same treatment done for less you have come to
the right place. Your answer is in "Dental Discount Plans".
Such plans are designed exactly for you. The way they work
is that you pay a very small annual fee (as low as $79-100)
and you are usually eligible for coverage immediately. There
is no annual maximum or waiting period.
Many
dentist accept these plans. For a complete list of dentists
and to compare and purchase the right plan for you, click on
the link below.
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What is the difference between HMO and PPO dental plans?
If your
employer offers dental benefit or if you are shopping for it
yourself you often come across two terms:
1.
Dental HMO plans (DMO)
2. Dental PPO plans
To be
able to make a correct decision you should know the
difference between the two, and I don't mean the coverage
difference that is usually presented by the insurance
companies. What I mean is the real difference.
You
should know how they pay the doctors and which plans the
doctors favor. Why? Because eventually it is the dentist
that will provide the service to you and not the insurance
company. So, no matter what the insurance company claims
their doctors have to do, your dentist will treat you as he
or she sees fit.
To
look at the issue from the perspective of a dentist, let's
see how they differ in terms of payments to the doctors.
1. The
PPO plans
PPO
plans, also called preferred provider plans, pay doctors
based on the procedures they perform. In other words, for
each approved treatment or service performed by your dentist
the insurance company sends him a payment (assuming other
limitations don't apply). When you are talking about this
kind of coverage, it means the more your doctor does the
more he is paid. Of course there are checks and balances in
place to make sure the doctors overall performance is
acceptable.
2. HMO
plans
When
it comes to a general dentist, usually the way the insurance
companies pay is called capitation payment. Which means they
sign a contract with a doctor for a certain number of people
(let's say 500 people). Then they pay doctors a monthly
payment for each patient (Something around 1-6 dollars per
person). Then in return they expect the dentists to perform
certain procedures for free and some others at a discounted
rate.
When
you think about it, you realize practically they reward
doctors who do less! As far as the dentists are concerned if
they are performing a "covered benefit" they are losing
money! The only time they make money is when they perform a
procedure that is not covered by insurance.
Getting more familiar with the system, you now realize why
some dental offices act strongly when you call them for
appointments having an HMO plan.
The
fact is that insurance companies (being a large monopoly
dealing with a non-union crowd) have pressured many doctors
(both in medicine and dentistry) to sing up with HMO plans.
That has resulted in lowering of the quality of service
across the country.
Next
time you are thinking about selecting an insurance plan keep
in mind the way they reimburse the doctors. You should not
make your decision only based on the list of co-pays they
give you. You may end up paying much more for a lower
quality of service in the long run.
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