Dental Flashcards
An important feature of a dental insurance plan, which is typically not found in a medical expense insurance plan, is the inclusion of diagnostic and preventive care. Most dental plans provide coverage for routine preventive procedures such as periodic teeth cleaning and fluoride treatments. An increasing number of dental plans require periodic examinations as a condition for continued coverage.
Diagnostic and Preventive
treatments, which restore functional use to natural teeth such as fillings or crowns.
Restorative
operative treatment of the mouth such as extractions of teeth and related surgical treatment.
Oral Surgery
treatment of the dental pulp within natural teeth, such as a root canal.
Endodontics
treatment of the surrounding and supporting tissue of the teeth such as treatment for gum disease.
Periodontics
the replacement of missing teeth with artificial devices like bridgework or dentures.
Prosthodontics
3 Types of Indemnity Plans
Scheduled or basic plan;
Comprehensive or nonscheduled plan;
Combination of both basic and comprehensive plans.
benefits paid without any deductibles or copays to satisfy
First-dollar benefits
a principle which states that an insured cannot profit from reimbursement for a loss
indemnity
also known as comprehensive; benefits are paid on a reasonable and customary basis and are subject to deductibles and coinsurance
Nonscheduled plan
also known as basic; pays benefits from a list of procedures up to the amount shown in the schedule
Scheduled plan