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Autistic Children Dental Care and Insurance

03/10/18 6:11 AM

As suggested in a prior post Pediatric dentist may be a better choice for autistic children. Pediatric dentist are specialist and are often times more equipped to provide dental care services to children with special needs. If you have current dental insurance or looking to buy dental insurance, you will want to make sure it provides benefits for specialist. Many dental insurance plan do but sometimes at a higher cost to you.


HMO Dental Insurance Plans: HMO plans are generally a fee based schedule laying out your cost for services. However those cost are based on their general dentist providing the services. Generally with specialist your saving is normally around a 20-30 percent off what the specialist normal charges. With HMO plans if you are thinking about buying one make sure they have specialist that will fix your child needs before buying, since there is no outside provider benefits.


PPO Dental Insurance Plans: On PPO and Indemnity insurance plans you have the benefit of choosing a specialist without referral, as well as one that is in or out of the plan network of providers. However, PPO and Indemnity insurance plans also normally base the coverage’s on general dentist cost, and pay out coverage’s based on UCR (Usual, Customary & Reasonable).  Since specialist will normally cost more then a family or general dentist,  it is important to understand you may have applicable UCR fees. If you have current dental insurance talk to your insurance rep and confirm what your benefits are for a specialist. If you are looking for a dental insurance plan we are always happy to help you with the dental insurance plan options we have to offer.

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Posted on 03/10/18 6:11 AM | by California Dental | in California Dental Insurance | No Comments »

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