Parlier Family Dentistry
13669 Manning Ave # 104, Parlier
dentist health point of interest
Western Dental & Orthodontics
285 W El Monte Way, Dinuba
dentist doctor health
Western Dental & Orthodontics
4901 E Kings Canyon Rd, Fresno
dentist doctor health
Healthcomp
621 Santa Fe Ave, Fresno
insurance agency health point of interest
Anthem Blue Cross
2011 Fresno St #104, Fresno
insurance agency health point of interest
United Healthcare
1401 Fulton St, Fresno
insurance agency health point of interest
United Healthcare
3100 Willow Ave, Clovis
insurance agency health point of interest
Bright Now! Dental
1420 Shaw Ave Suite 101, Clovis
dentist health point of interest
HealthMarkets
1438 W Ashlan Ave, Fresno
insurance agency point of interest establishment
Humana
516 W Shaw Ave, Fresno
insurance agency health point of interest
Anthem Blue Cross
5260 N Palm Ave #215, Fresno
insurance agency health point of interest
Aflac Insurance : Veronica Ilic Stone
1285 W Shaw Ave #101, Fresno
insurance agency point of interest establishment
Principal Financial Group
1350 E Spruce Ave, Fresno
insurance agency finance point of interest
NMP Insurance Services, LLC
2491 W Shaw Ave #101, Fresno
insurance agency health point of interest
HealthMarkets: Rosa L Losey
2072 Everglade Ave, Clovis
insurance agency health point of interest
Bright Now! Dental
6680 N Blackstone Ave, Fresno
dentist health point of interest
HealthMarkets Agent
7725 N First St, Fresno
insurance agency health point of interest
Bright Now! Dental
3244 W Shaw Ave Suite A, Fresno
dentist health point of interest
Aflac
1255 E Nees Ave, Fresno
insurance agency point of interest establishment
HealthMarkets Insurance - Craig Levine
7797 N First St #432, Fresno
insurance agency health point of interest

More About Dental Insurance Services from Wikipedia


Dental insurance is a form of health insurance designed to pay a portion of the costs associated with Dentistry. There are several different types of individual, family, or group dental insurance plans grouped into three primary categories: Indemnity, Preferred Provider Network (PPO), and Dental Health Managed Organizations (DHMO).


Generally dental offices have a Wikt:fee schedule, or a list of prices for the dental services or procedures they offer. Dental insurance companies have similar fee schedules which is generally based on Usual, customary and reasonable, an average of fees in an area. The fee schedule is commonly used as the transactional instrument between the insurance company, dental office and/or dentist, and the consumer.


Types of coverage


Indemnity Dental Insurance Plan

With indemnity dental plans, the insurance company generally pays the dentist a percentage of the cost of services. Restrictions may include the co-payment requirements, waiting period, stated deductible, annual limitations, graduated percentage scales based on the type of procedure, and the length of time that the policy has been owned.


Dental Health Maintenance Organization (DHMO)

Dental Health Maintenance Organization plans entail dentists contracting with a dental insurance company that dentists agree to accept an insurance fee schedule and give their customers a reduced cost for services as an In-Network Provider. Many DHMO insurance plans have little or no waiting periods and no annual maximum benefit limitations, while covering major dental work near the start of the policy period. This plan is sometimes purchased to help defray the high cost of the dental procedures. Some dental insurance plans offer free semi-annual preventative treatment. Fillings, crowns, implants, and dentures may have various limitations.


Participating Provider Network (PPO)

In the United States, Participating Provider Network or PPO, also referred to as Preferred Provider Organization, is an organization governed by medical doctors, hospitals, other health centers, and medical care providers. This organization has an agreement with an insurer or the third party administrator to provide health insurance to the people associated with their client at reduced or low rates. Participating Provider Network plan may work similar to a DHMO while using an In-Network facility. However, a PPO allows Out-of-Network or Non-Participating Providers to be used for service. Any difference of fees will become the financial responsibility of the patient, unless otherwise specified.


Payouts


Dental insurance companies divide benefits, services, or procedures into categories and refer to them with American Dental Association (ADA) 3-4 digit code. As an example, Preventative and Diagnostic procedures often include exams (ADA code 0120), Dental radiography (ADA code 0210), and Dental cleaning or Preventive medicine#Prophylaxis (ADA code 1110). Basic procedures often include Dental restoration, Periodontology, endodontics, and oral surgery. Major procedures often are Crown (dentistry), dentures, and Dental implant. Procedures such as periodontics, endodontics, and Oral and maxillofacial surgery may be considered major, depending on the policy.


Restrictions

Some dental insurance plans may have an annual maximum benefit limit. Once the annual maximum benefit is exhausted any additional treatments may become the patient's responsibility. Each year, the annual maximum is reissued. The reissue date may vary as a calendar year, company fiscal year, or date of enrollment based on the specific plan.


See also



External links


*[http://www.ada.org/en/public-programs/dental-benefit-information-for-employers/dental-plan-benefit-models Dental plan benefit models] from the American Dental Association



Learn more about Dental Insurance Services:

https://en.wikipedia.org/wiki/Dental Insurance