Group Dental Insurance

What type of service under a nonscheduled plan typically has large deductibles and pays around 50% for the services provided?
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What type of service under a nonscheduled plan typically has large deductibles and pays around 50% for the services provided?
Major Services

* major services under non-schedule plans, which cover treatments such as inlays, crowns, dentures, and orthodontics, either have large deductibles or the insured pays 50% of the costs.
Julie must have orthodontic work performed on her incisors. Which type of service would this be called, under a nonscheduled plan?
Major service
What is EXCLUDED in a dental insurance plan?
Lost dentures
Dental Expense policies DOES NOT have a deductible on?
Preventive Care
Most scheduled plans provide first-dollar benefits without
coinsurance and deductibles
Under most dental plans, what limitations are posed for denture replacement?
once every 5 years
Am employer group dental insurance plan DOES NOT provide coverage for
Cosmetic treatment
In order for cost to be covered under a dental plan, what is the minimum interval that must pass between Roy tube dental exams?
6 months
What is a combination dental plan?
A combination plan is a combination of the scheduled and nonscheduled plan. The combination plan covers diagnostic and preventative services on the usual, customary and reasonable basis but uses a fee schedule for other dental services.
What is prior authorization?
The pre-determination of benefits clause, also known as precertification and prior authorization, allows both the insured and the dentist to know in advance which benefits will be paid this clause is found in most dental plans.
Under a nonscheduled plan, what portion of the balance could an insured expect to pay for basic services?20%And insured does not have to pay coinsurance or deductibles on a four series mouth x-ray, but does have to pay a deductible to get his cavities filled. Which dental plan does he have?Nonscheduled * diagnostic and preventative services are generally not subject to coinsurance or deductibles and non-scheduled plans but basic and major services are.combination plans are comprised of two types of plans features: basic andComprehensiveUnder which plan does preventative dental treatment not apply toward the deductible?NonscheduledWhat is NOT considered to be a basic service, under a nonscheduled plan?DenturesA dental plan that provides coverage based upon a specified maximum scheduled amount for each procedure and pays on a 'first dollar' basis with no deductible or coinsurance is aBasic or scheduled plan.