“Dental Insurance”
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Does one need Dental Insurance? This question is asked by us in parlance with any kind of insurance. Well, insurance is a tool that offsets financial losses due to accidents or incidents or unforeseen circumstances. With this in view, insurance is always advocated but if one is young and healthy and doesn’t need to visit a dentist more than twice a year, dental insurance will not be a requirement, since the premium for such insurance may be more than the annual tooth maintenance bill.

People with a turbulent dental history are advised to purchase dental insurance or join a discounted dental plan for the simple reason that dental bills can turn out to be very steep. Millions of Americans are undergoing root canal and cavity procedures despite the fluoride in drinking water. Dental health in the USA has not been of very high standard over the decades. Dental health depends upon a variety of factors including dental hygiene, stress, personal eating habits, nutrition etc.

The programs of dental coverage available are Indemnity Plans, Preferred Provider Plans, HMO Plans and Discount Plans

These are normal, traditional insurance coverage plans where you get a percentage of your dental bills covered for a monthly fee or premium. Normally a indemnity plan covers 100% of preventive services, 80% of restoration services and 50% of major treatment like orthodontics.

Dental Preferred Provider Plans

These plans cost an average of $40 per month and give you highly discounted rates of dental procedures within the specified network. A few benefits are available outside the network also. These plans are regulated by state insurance departments and fall in the insurance category.

HMO Dental Insurance

These insurance plans are also known as capitation plans. They operate like Health Maintenance Organizations (HMO). These are also regulated by state insurance department and cost between $20-$40 a month.

Dental Discount Plans

Discount dental plans are like clubs where you get the best deals when you show your membership card. These are again network based. They give best value to individual and family memberships. This membership is only purchasing a discounted access to a network dentist and is not considered insurance.

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“Dental plans and Dental insurance”

Dental coverage is normally not underwritten by insurance companies because the treatment and medication of dental needs are predictable and follow a time table. No individual would opt for a dental insurance plan if he were to pay more in premium than in annual dental charges, and the insurance company would lose money if they pay more in claims than the premium collected for each policy they underwrite.

Despite these drawbacks, some companies offer dental benefits by group discount schemes. These are also called discounted dental plans or affordable dental plans. These are a kind of “clubs” where membership costs a little money monthly or annually where the members can avail of dental services at a discounted rate. The dental service providers or dentists affiliated to these “clubs” have agreed to provide dental services at a discounted rate. The payment is made directly by the patient to the dentist, no paperwork or claims or future hassles. These “clubs” only do matchmaking between the patient and the dentist, earning money in the process. The dentist in turns gains to earn due to larger volumes of work. The patient gets the service at a discounted rate. It’s a WIN-WIN for all parties involved.

Dental Insurance when offered is again a complicated issue. The insurance company generally stresses upon background checks and pre-existing conditions. After this goes through you have to wait out until the coverage starts. When the treatment is actually undergone, a lot of paperwork regarding claims, %age exclusions etc. come to the fore where it becomes more of a pain to actually undergo and finish the process of reimbursement.

However insurance has its own benefits and plans have their own. A lot of employers also provide dental insurance whereupon the need for plans ceases for the individual. It’s for the individual to decide between the two as per their requirement, needs and current situation.

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