What is Dental Insurance?
Dental insurance is designed to pay a portion of the costs associated with dental care. Generally dental offices have a fee schedule, or a list of prices for the dental services or procedures they offer.
Typical Types of Dental Insurance
Indemnity Dental Insurance Plan:
This plan may be helpful when you want to stay with your dentist and he/she does not participate in a dental network. By the very nature of this plan the insurance company generally pays the dentist a percentage of your services according to the policy you purchased. In addition you will want to review the co-payment requirements, waiting periods, stated deductible, annual limitations, graduated percentage scales based on the type of procedure and/or length of time you have owned the policy prior to starting your dental work.
Dental Health Managed Organization (DHMO):
When a dentist signs a contract with a dental insurance company that provider agrees to accept an insurance fee schedule and give their customers a reduced cost for services as an In-Network Provider. Many DHMO insurance plans have little or no waiting periods, no annual maximum benefit limitations, while covering major dental work near the start of the policy period. This plan is sometimes purchased to help defray the high cost of the dental procedures. Some dental insurance plans offer free semi-annual preventative treatment. Fillings, crowns, implants and dentures may have various limitations.
Participating Provider Network (PPO):
Depending on your specific plan, the PPO works similar to a DHMO while using an In-Network facility. However, it allows you to use an Out-of-Network or Non-Participating Provider. Any difference of fees will become the financial responsibility of the patient unless otherwise specified in your dental policy. As noted, some dental insurance plans may have an annual maximum benefit limit. Thus, once the annual maximum benefit is exhausted any additional treatments may become the patient's responsibility. Each year that annual maximum is reissued. The reissued date may vary as a calendar year, company fiscal year, or date of enrollment based on your specific plan.
What is Vision Insurance?
Vision insurance is a form of insurance that provides coverage for the services rendered by eye care professionals such as ophthalmologists and optometrists.
The typical vision insurance plan provides yearly coverage for eye examinations and partial or full coverage eyeglasses, sunglasses, and contact lenses, with or without copays, depending on the plan chosen.
If you see the big picture, you know how important eye health is to overall well-being. A little attention to those baby blues, browns, greens, or hazels can make all the difference.
We can help you obtain affordable vision coverage including an annual routine eye exam for a low copayment. Plus you get coverage for contact lenses or eyeglass lenses and frames - including designer names.
Medicare unfortunately does not cover the cost for hearing aids or exams for the fitting of hearing aids. We offer a hearing plan that has no deductibles, no networks, and it is guaranteed issue. Our plan also features yearly benefits from $1,000 to $3,000 depending on what state you are in.
Contact us to learn more about our Dental, Vision and Hearing plan.
4800 Sugar Grove Blvd #170
Stafford, TX 77477
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