| You are probably well aware of the
crisis that is going on in American healthcare.
Overall medical benefits gets more and more expensive
each year.
This price increase has two key affects on dental:
- Many
companies are cutting back on or canceling their
employees' dental benefits.
- Those who don't have dental benefits either
because they are unemployed, self-employed, or their
job doesn't provide are having an even tougher time
affording good dental care.
For either of the reasons above, the fact is that
fewer and fewer people are getting the dental care that
they need because it just is too expensive
through pricey traditional dental insurance programs.
What's more is that even for those few who are
fortunate enough to have some form of dental coverage,
traditional insurance poses several undesirable
challenges:
- Pre-existing conditions are not covered.
So, if you get a toothache three weeks into the
program the extraction or root canal may not be
covered because they are "pre-existing" problems.
- Waiting Periods.
This means that, yes, just like the insurance agent
said, preventive procedures are covered. But, not
until the policy has been in effect for six months.
In a nutshell,
waiting
periods may keep you from getting the care that you
need when you need it.
- Orthodontic benefits are not covered.
"Oh, you wanted orthodontic benefits? That's only
available at additional premium. You should have
mentioned that before." Or, "Sure, you have
orthodontic benefits. They're part of the phase-in
benefits and you get them in the second year."
So What Are The Alternatives?
Well, in today's over-priced medical arena,
your best bet
for affordable care is with a discount dental plan---even
if you already have traditional dental insurance.
What Makes Discount Dental Plans Any Different?
- Dental Plans are not insurance, so they don't
pay claims
This is a very important point to understand. With dental insurance---or
any insurance for that matter, the goal of the
insurance company is to get their money from you up
front so that when you actually use the plan and
they have to pay, you've already paid for it many
times over. This is the basic principle on which
insurance companies make their money.
Dental Plans, on the other hand, don't have to
worry about getting money up front from you because
they don't pay claims, they simply give you a great
discount. They are able to negotiate these
discounts because they have the power of thousands
(sometimes even millions) of members. That is a LOT
of buying power, and doctors and retail outlets are
willing to give the members of these plans a good
discount in turn for being referred to other members
in the local area and prefer receiving payment at
the time of the service.
Because of this, dental plans can afford to
charge a small, easily affordable membership fee as
opposed to an expensive insurance premium.
- Dental Plans offer many things that insurance
does not
Because they have little to no liability
attached, dental plans are able to offer discounts
for things like ongoing problems, cosmetic
dentistry, orthodontics, and specialists, which are
where most people incur the bulk of their dental
expenses.
What's the use of paying a high insurance premium
if you must pay the entire bill for $2,500.00 of
specialist work or $5,000.00 worth of cosmetic
orthodontics?
Remember, dental plans don't pay claims so they
aren't concerned with getting as much money out of
you up front as possible.
Their
primary concern is getting more and more members so
that they can negotiate better and better discounts
and keep their membership price affordable.
- While traditional insurance is often limited,
dental plans are unlimited
Once again, since they must get all of the money
that they can get from you before having to pay a
claim, traditional dental insurance generally has
several limits that come with it:
- Waiting periods
- Annual limits
- Number of people who can be covered on one
plan
None of the above are concerns to dental plans.
They don't want your high premium payments, they
just want lots of people paying their low,
affordable membership fee.
Because of this, you generally can get the care
you need right away without having to deal with
waiting periods. There is generally no annual limit.
And finally, the best plans will allow you to have
an unlimited number of people in your home included
on their dental plan. It just gives you more
incentive to join, AND its more people who they can
say are members, which means they can continue to
negotiate the best discounts for their membership.
- What if I already have dental insurance through
my job? How can i still benefit?
Those who already have dental insurance from
their job are actually in a fantastic position to
benefit from the power of a discount dental plan.
In many cases,
discount
dental plans may be used as a "wrap-around" benefit
to cover up gaps in traditional insurance,
such as:
- Discounts for ongoing conditions
- Discounts for dental care after the annual
limit has been surpassed
- Discounts for orthodontics and cosmetic
dentistry
- Discounts for specialist care
- Discounts for immediate care during a
waiting period
In addition to their "wrap-around" qualities,
discount
dental plans may also be used to get additional
savings in conjunction with traditional insurance.
Group Dental Insurance + Discount Dental= A
strategy for greater savings
For your dental work you use only a provider
participating in your dental program. When you go
for your dental work you present your membership
card from the dental program in order to receive the
reduced costs, pay your bill, save your receipt and
submit it to the insurance company for reimbursement
and save twice. First from the dental program and
then from your company provided dental insurance
(depending on your policy).
Bringing it All Together
Are all discount dental plans created equal? Of
course not. To find the best plan for you, it is
suggested that you spend some time looking over several
plans until you arrive at the one which bests suits the
needs and budget of your household.
Membership with a good discount dental plan---whether
with or without traditional insurance---can end up not
only saving you thousands of dollars over time, but also
providing you with the best possible dental care at the
most affordable possible price.
|
|
|