Dental Insurance: Differences Between In-Network and Out-Of-Network Plans
An in-network insurance plan dentist is within the approved network of dentists for a particular dental plan. Out-of-network dentists are not on the list.
If you visit a dentist within the network, the amount you will be responsible for paying may be less than if you go to an out-of-network dentist.
In many cases, the insurance company will not pay anything for services your receive from outside their network; however, there are exception to this.
As a general rule, Dental PPOs, POSs, and DHMOs have provider networks. Indemnity plans typically do not have networks; you go to whatever dentist you want.
Can I buy dental insurance plan for less if I buy directly from the insurance company?
No. Insurance companies charge the same premium whether the dental insurance plan is purchased directly from the company, through a broker, or online.
+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.
My Dental Plan: Maximizing the Benefits of Your Dental Plan
The new dentistry brings together a unique complement of skills, knowledge, and capabilities with one primary focus: ensuring your dental health. Working as a team, your dentist and the dental team he or she has assembled wants to recruit you to join them in making sure this focus on new dentistry is maintained you get full value from your dental health plan.
The dental team has two major parts that you may hear referenced during your visits: the "back" and the "front." These terms refer to two very specific functions of your dental team. The front office handles all the administration, scheduling, dental plans, insurance and financial details, and the back office provides the treatment.
Your front office team makes sure you know about scheduling opportunities, handles finances, files with your dental plans and keeps the administrative details under control to provide you efficient services and support. The back office team is thus free to do what they do best: provide the best care and service for you. You'll find the dentist, dental hygienist, and dental assistant ready to assist you during your appointments.
The key component for success of any team is each member's commitment to do their part. As a consumer and team member, your commitment to new dentistry involves three things:
- Maintaining your commitment to your dental health through regular hygiene appointments and the daily practice of flossing and brushing.
- Asking questions and getting the essential information you need about your teeth and gums or to understand any treatment plans.
- Staying open to options and opportunities that the new dentistry offers you by thinking about the information and feedback that your dentist provides you about the status of your dental health and dental plans.
You can maximize the dental plan benefits with the skills and expertise of your dental team by deciding for yourself what kind of relationship you want with your dentist and the dental team and how they can help you achieve a positive outcome for your dental future.
By Brian DesRoches, PhD
+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.