Dental 4 Less – Understanding Indemnity Dental Plans
Indemnity or Dental Insurance Plans This type of dental plan pays the dental office (dentist) on a traditional fee-for-service basis. A monthly premium is paid by the client and/or the employer to an insurance company, which then reimburses the dental office (dentist) for the services rendered.
An insurance company usually pays between 50% – 80% of the dental office (dentist) fees for a covered procedures; the remaining 20% – 50% is paid by the client. These plans often have a pre-determined or set deductible amount which varies from plan to plan.
Indemnity plans also can limit the amount of services covered within a given year and pay the dentist based on a variety of fee schedules. Some typical features of these plans: High deductibles before coverage begins (well-designed plans don’t apply the deductible to preventive services) Probationary periods on certain procedures that last up to a year Annual dollar limit on benefits, Chose your own dentist, Your average monthly cost: $50+
Companies selling these plans are regulated by state insurance departments.