how it works
Dental plans aren't really insurance in the way other things are. Traditionally, you are insured against catastrophic losses. You pay your homeowners carrier thousands of dollars a year, and then if your home or property gets destroyed by fire, accident, or a crime, you are reimbursed for the damage and are able to keep your home. The money spent gives you peace of mind that you will be able to survive a catastrophic loss. Dental plans, on the other hand, are geared toward providing a maximum fixed quantity of benefits every year. The companies need to charge enough for the premium that they can pay for your benefits and have some money left over for their operating expenses and a profit. Dental expenses are a more predictable type of expense, and a dental plan doesn't really expose the carrier to any significant risk because every plan has an annual allotment of benefits.
Dental insurance plans are designed to provide you with a basic standard of general dentistry. While some cosmetic dentistry procedures are covered by dental insurance plans, they are only covered at a functional level. The insurance company may help you pay for a crown to physically protect your tooth but won't pay the extra cost required to make it beautiful. Furthermore, some dental insurance plans maintain lists of dentists called "preferred providers" or "network dentists" who are willing to discount their fees in order to receive referrals from the insurance company. Don't expect any expert cosmetic dentists to agree to these insurance company terms. Dental plans will also limit their coverage of cosmetic dentistry procedures, in order to control their costs. They usually completely disqualify them from any coverage and are designed to provide you with a basic standard of general dentistry.
We will be happy to help you with your Insurance and maximize your coverage. Although Scottsdale Cosmetic Dentist Dr. Tenney is not a dental provider for any of the DMO plans. You may use your Insurance if you have "out of network” or indemnity coverage.
Other dental insurance topics:
Company tactics - There are many tactics that they use to help control costs. Some of them are reasonable, but some are deceptive and manipulative.
This information is provided for you by the mynewsmile.com cosmetic dentist referral service, and was personally written by Dr. David Hall.