Dental plans and Dental insurance

Dental plans and Dental insurance

Dental coverage is normally not underwritten by insurance companies because the treatment and medication of dental needs are predictable and follow a time table.

No individual would opt for a dental insurance plan if he were to pay more in premium than in annual dental charges, and the insurance company would lose money if they pay more in claims than the premium collected for each policy they underwrite.

Despite these drawbacks, some companies offer dental benefits by group discount schemes. These are also called discounted dental plans or affordable dental plans. These are a kind of “clubs” where membership costs a little money monthly or annually where the members can avail of dental services at a discounted rate. The dental service providers or dentists affiliated to these “clubs” have agreed to provide dental services at a discounted rate. The payment is made directly by the patient to the dentist, no paperwork or claims or future hassles. These “clubs” only do matchmaking between the patient and the dentist, earning money in the process. The dentist in turns gains to earn due to larger volumes of work. The patient gets the service at a discounted rate. It’s a WIN-WIN for all parties involved.

Dental Insurance when offered is again a complicated issue. The insurance company generally stresses upon background checks and pre-existing conditions. After this goes through you must wait out until the coverage starts. When the treatment is undergone, a lot of paperwork regarding claims, %age exclusions etc. come to the fore where it becomes more of a pain to undergo and finish the process of reimbursement.

However, insurance has its own benefits and plans have their own. A lot of employers also provide dental insurance whereupon the need for plans ceases for the individual. It’s for the individual to decide between the two as per their requirement, needs and current situation.