🔍
What is covered by Dental #Insurance and How to choose a #dental plan❓ 👑 - YouTube
Channel: Let's Talk Money Channel
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Dental insurance can be very hard to
understand, but that doesn't necessarily
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mean that it it is worthless. In order to
get the most benefits from dental
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insurance you will need to understand
how it works
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As always information is key in this
video I will explain how to benefit from
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dental insurance and I will try to
address such questions as how does the
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dental insurance work? what is the best
dental plan? what is the difference
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between the dental PPO and HMO plan? what
is a waiting period?
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how much does dental insurance cost? am i
required by law to have dental insurance?
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also I will address and that such topics
as individual versus group dental which
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one is better what is covered by dental
insurance what's the difference between
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in-network and out-of-network here all
of this information will help you decide
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if dental insurance is worth the cost
please watch this video until the end as
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I will give out helpful tips and tricks
that will help you get the most benefits
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out of your dental insurance also feel
free to check out a side-by-side
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comparison comparison of various dental
plans and the case study that I will be
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posting in the description section under
this video ok so let's get started how
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does dental insurance work if you've had
health insurance you are going to be
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very familiar with how dental plan works
if you are still confused I'll explain
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how it works usually pay a premium every
month it's a certain amount monthly to
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buy the dental insurance plan your
insurance won't pay for everything so
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there are few things you might want to
know like deductibles coinsurance and
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co-pays what is that your deductible is
what you have to pay out-of-pocket for
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services covered by your plan before the
insurance company pays your plan may
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include co-pays this is a fixed cost you
pay for a certain service like for
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example an x-ray coinsurance
refers to the percentage you pay for
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covered expenses of Tanith your
deductible so if your coinsurance for a
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filling is 20%
and the cost for that service in network
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is $100 you would pay $20 for that the
insurance company would pay for the rest
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of your college expenses up to your
annual maximum how much does dental
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insurance cost well the answer is it
depends the HMO plans tend to be less
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expensive and PPO plans are a bit more
pricey before buying dental insurance
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first ask yourself what are your needs
to the map
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often your annual premium is less than
the cost of two visits to your dentist
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for a year for regular check-ups you can
call your dentist and ask for the price
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of a visit if you pay yourself without
insurance it's likely that dental
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insurance is cheaper than paying for two
visits out of your pocket plus you get
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the added benefits of having dental
coverage that will save you money in
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case of unexpected dental issues that
could come up under this video I will
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have a sample comparison of various
dental plans available in California so
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feel free to check it out by the way
comparing the dental benefits
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side-by-side is a great way of
determining what type of plan would
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benefit you the most there are some
discount plans for as low as seven
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dollars a month obviously PPO plans
range from a bit more pricey and range
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from like $35 to $80 a month the
comparison is for information only and
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it's based on California zip code for
individuals and families next am i
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required by law to have dental insurance
the answer is no the Affordable Care Act
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doesn't legally require adults to have
dental insurance however having dental
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coverage is an important part of staying
healthy and having access to preventive
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dental services it is up to you whether
you decide to buy dental insurance but
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choose to pay the full cost of dental
care out of your pocket what is covered
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by dental insurance here is the typical
breakdown of dental benefits categories
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major it's usually covered at 50 percent
which means them
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with paying 50% for the most of the time
crowns bridges dentures partials inlays
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onlays etc are considered major
procedures basic usually covered at 80%
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which means that insurance or the
patient pays the other 20% most of the
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time fillings extractions para dontel
services root canals core build buildup
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filling and root planning are considered
basic preventative usually covered at
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hundred percent which means that in
short or the patient pays nothing
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additional most of the time routine
cleanings like x-ray exams dental
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sealants it's Azra are considered
preventative there are usually timing
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limitations to the cleanings and
sealants so this are different in almost
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every policy check on that alright and
in addition I would like to outline one
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very important aspect of dental
insurance most individuals and family
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dental plans have a waiting period for
basic and major services group plans or
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employee benefits plans usually don't
have a waiting period due to various
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reasons due to the risk of adverse
selection the insurance companies can
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put and pose a certain a waiting period
for the individual dental plans for
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example some contracts will not let you
get any basic services in the first six
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months of the policy and you might have
to wait as much as 12 months in order to
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get major procedures covered there are
some exceptions and I will have one of
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those plans in my comparison chart that
I will post under this video now that
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you understand the basics of how dental
insurance works let's talk about the
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types of dental insurance plans which is
another area that can be totally
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confusing and can change each time you
renew your health insurance if your
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dental insurance is part of that plan
it can change yearly and this can
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determine how much out-of-pocket you pay
so let's explore various types of dental
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insurance and try to determine what is
the best plan for you
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there are three basic types of dental
insurance plans dental HMOs dental PPOs
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and dental indemnity plans to find the
best one for you you should consider
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what your most important deciding factor
saw for example cost keeping your
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dentist flexibility and so on and look
at dental plans that suit your needs
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let's look at the key characteristics of
the three basic types let's start with
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the dental HMOs
HMO stands for health maintenance
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organization if you participate in a
dental HMO you generally have lower
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premiums than either a dental PPO or an
indemnity plan no annual maximum - the
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benefits that the plan will pay a
restrictive network of dentists and
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dental providers no benefits for going
to out of network dentist or providers
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and a list of co-pays which is a
standard cost you will spend for office
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visits and specific dental services
let's take a look now at a dental PPO
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plan PP o stands for preferred provider
organization if you choose a dental PPO
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plan you can expect higher premiums than
a dental HMO and annual maximum - your
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benefits for example at $1,000 per year
maximum or $2,000 per year max but it
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varies by plan and network of dentists
or providers that have agreed to offer
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discounted services and you can choose
to use to save money to choose those
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doctors some benefits paid to out of
network dentists - all providers you
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might choose to go instead a list of
percent the insurance company will pay
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for different dental services for
example many dental PP o--'s cover a
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hundred percent of preventive services
as I mentioned earlier like exams and
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cleanings that may pay only 50% for
major expenses like crowns or bridges
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now let's take a look at dental
indemnity plans this is a traditional
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fee for service insurance offering the
most freedom of choice you can expect
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higher premiums than either dental HMO
or dental
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video and annual maximum cheer benefits
as small deductible you have to meet no
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network of providers meaning you get the
same benefits with any dentist you
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choose but also meaning there are no
Network negotiated discounts or dental
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on dental services which means you can
pay a little bit more you could pay more
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a list of the percent the insurance
company will pay for different dental
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services just like the dental PPOs as I
mentioned earlier I will have a link to
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my blog with a side-by-side comparison
of these plans you can compare various
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plans and also see the cost of dental
insurance for each of the plans now
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let's take a look at a very important
AXA aspect of dental insurance and find
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out what is the difference between
in-network and out-of-network dental
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care in network care means that you can
only see the doctor or doctors that are
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in network or have a contract with your
insurance company out of network means
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that you can go to other doctors but you
will have to be extra careful and don't
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assume that because you will end up
paying more for out-of-network care here
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are few things to keep in mind cost and
convenience you can help make it more
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affordable dental care for yourself by
staying staying in-network a dentist in
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network has agreed to lower rates on
services and this could benefit you also
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some dental insurance plans don't pay
any benefits to out of network dentists
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at all or pay less check your plan
before you buy finally if you stay
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in-network you often won't have to deal
with submitting claims yourself the
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dental office and your insurance
provider will handle that on your behalf
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if you are out of network you may have
to submit your own claims and wait to be
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reimbursed again before you buy a dental
plan I will highly advise that you
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search whether or not your doctor is a
network or find another doctor that
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works with your insurance company now as
I promised in the beginning of this
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video here is a great information that
will help you navigate the dental
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insurance needs
first pay attention to when you are
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buying the insurance if you are at work
and the employer is offering multiple
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plans spend some time really researching
which point is best for your family
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or for yourself if you really only need
dental cleaning then maybe a basic
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dental plan will be sufficient if you
are planning a major procedure like a
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root canals crowns and said etc but then
you may want to get more expensive plan
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that pays more for this procedures and
is less likely to exclude services also
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call your insurance company and ask
questions remember you are paying the
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money so ask the question soon try to
understand your plan also read the
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booklet that you get from the insurance
company it is ultimately your
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responsibility to know how the plan
works so do your homework read the
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summary of benefits for your plan
believe me this will save you tons of
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money work with an insurance agent
agents will be able to compare various
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options and help you choose the one that
is best for you if you don't have an
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agent we will be glad to help you we are
in California get a treatment point from
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your dentist this is a great way of
estimating what dental work needs to be
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done when it needs to be done and how
much it will cost you do the math call
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your dentist office and ask how much did
we spend a total aside from insurance
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last year if this amount is less than
you insurance premium maybe you should
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just pay out of your pocket or utilize
an HSA how savings account it really
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doesn't make sense to pay more for
insurance then you get in benefits year
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after you again do the math it will help
you make the right decision
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in case there are other tricks that you
might want to share with the world feel
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free to comment under the video also we
always welcome discussion under our
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videos so feel free to participate if
you found this video useful please like
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it share it and subscribe to our Channel
it will not cost you a dime but it will
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help others a lot thanks for watching
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