Select Page

Paying for your own dental work can be expensive. Dental insurance was furnished to help you cover the financial burden of costly dental work. You should take the time to establish your own dental insurance plan if you do not currently have one.

Below we are going to take a look at the different kinds of dental insurance policies that are offered to the public. We encourage everyone to take the time to figure out what policy is the best choice for their income and lifestyle. There is no one-size-fits-all program when it comes to dental insurance. Pay close attention to the advantages and disadvantages of the various insurance types below so you can be more informed when making your decision of which one to purchase.

 What Types Of Dental Insurance Policies Are Available?

As a resident of Pennsylvania, you have access to four different types of insurance policies. These all are different from each other. Let’s dive right in below.

 Preferred Provider Organizations  – These are commonly referred to as PPOs for short. Under this program, you must seek dental assistance from an approved doctor on the Organization’s list for coverage to be effective. When you visit a dentist in the Organization’s network you receive service at a discounted rate compared to the average consumer.

The PPO will have a fee schedule that they provide to their organization members. This will name the dental procedures that are covered under the plan. It will also explain the maximum amount of financial coverage they will fork over for payment for each procedure. You should be aware that coverage through this program has restrictions and that when you seek dental assistance outside of the approved network, you will have to pay higher co-pays.

 Dental Health Maintenance Organizations  – This can also be referred to as DHMOs for short. These policies typically have lower premiums, don’t require annoying claim forms or deductibles, as well as they don’t put any sort of yearly cap on the amount of dental services that they will cover.

DHMO providers will pay oral health professionals within their network a monthly fee in exchange for lower priced or free services for the organization members. Many dentists will take advantage of the offers from the DHMO providers, as they will be given access to a larger pool of clients. With this program, the dentists are only receiving a flat fee each month. This gives them the motivation to ensure they are providing proper preventative care for their patients, as this can prevent them from having to perform costly procedures in the future which they cannot increase the price of.

This type of policy typically has fewer dentists available than the PPO or other programs. You should check to make sure there is a dentist available in your local area before signing up for this type of policy. In addition, realize that you must have services performed within the network, otherwise the DHMO is very unlikely to pay for the services.

Discount Plans Those who have little to no coverage at work may opt for a discount plan. This type of policy provides users with a discount card that can be used at certain dentists. When the card is shown to the dentist, they will charge you a discounted price on the services that they perform. This type of plan typically requires a monthly premium or an annual lump sum premium payment.

With discount plans, you should check on a few things. First, you want to check to see if your local dentist accepts the plan. Remember, only select dentist offices will take the discount card. Second, you want to make sure you are aware of the fee schedule. This will tell you how much the provider will pay towards your dental procedures. You will likely be responsible for the lump sum payment after the discount is applied at the time the procedure is performed.

Indemnity Plans  – These are commonly known as the traditional dental insurance plans. This is where a provider gives you a fee schedule for what they will pay for specific procedures within your area. There are no restrictions about the dentist that you use. You should realize that with this program you may be required to foot the cost of the bill upfront and then be reimbursed by your indemnity provider afterward.