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How to understand California indemnity dental insurance plans

02/02/11 8:33 AM

This type of dental plan pays the dental office (dentist) on a traditional fee-for-service basis. A monthly premium is paid by the client and/or the employer to an insurance company, which then reimburses the dental office (dentist) for the services rendered. An insurance company usually pays between 50% – 80% of the dental office (dentist) fees for a covered procedures; the remaining 20% – 50% is paid by the client.

These plans often have a pre-determined or set deductible amount which varies from plan to plan. Indemnity plans also can limit the amount of services covered within a given year and pay the dentist based on a variety of fee schedules. Some typical features of these plans:

  • High deductibles before coverage begins (well-designed plans don’t apply the deductible to preventive services)
  • Probationary periods on certain procedures that last up to a year
  • Annual dollar limit on benefits
  • Chose your own dentist
  • Your average monthly cost: $35+
  • Companies selling these plans are regulated by state insurance departments.
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Posted on 02/02/11 8:33 AM | by California Dental | in California Dental Insurance | No Comments »

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