Dental Insurance Plans accepted
by our office
1) Regular Indemnity Insurance Plans
These are traditional insurance plans (includes
self-insured plans and union plans) that place no restrictions on
your choice of general dentists or specialists. You never have a list of
providers from which to select. Indemnity plans are usually the best dental
plans available. Our office completes all the required
paperwork for you and accepts assignment of benefits from your insurance.
We accept all indemnity plans.
2) Preferred Provider Organizations
(PPOs, PDPs)
These insurance plans are more restrictive because
they provide you with a list of preferred providers, including general
dentists and specialists, from which to choose. Depending on the plan
and insurance company, you may have a wide or narrow choice of providers.
You have the flexibility of selecting another dentist or specialist from
the list, at any time, for any reason. Providers on the list agree to a
contracted or reduced fee. PPOs also allow you to go 'off' their list (some
do not) and select other dentists while maintaining benefits. However,
your out of pocket expenses will be slightly higher at an 'off the list'
dentist. We handle all necessary paperwork and accept
the assignment of benfits from your insurance. We are preferred providers
for several PPOs/PDPs. Please contact our office
for further information.
3) Our own Plus+ Dental Program
Ideal for those with no dental
insurance, the Plus+ Dental Program was created
by our office and is open to adults/children, singles/couples, families
and all small businesses.
All insurance plan descriptions stated here are generalised
and do not
represent specific plan types. It is also likely that exceptions
to
these descriptions or newer classifications exist. Please
check your individual plans carefully.
NOTE
Dental Health Maintaniance
Organizations (DHMOs, DMOs, Capitation)
These plans are the most restrictive and inflexible.
Dentists receive a very low monthly dollar amount for each patient that
selects their office. They also agree to a severely reduced fee for their
services and receive no insurance reimbursement for treament procedures.
Patients are still responsible for any co-payments on treatment provided.
You are required to select one primary care provider, from a list, and
can only obtain treatment from that office. You have to obtain a referral
from your general dentist to see a specialist. You may change your primary
care provider but it involves contacting the HMO administrators who will
'switch' you to the new provider. The constraints
and restrictions of these plans do not allow for the quality and excellence
of dental care that we routinely provide, therefore we have elected not
to participate in dental HMOs, DMOs or capitation plans.
Questions and comments may be sent by
e-mail to dentists@dentalwarriors.com
Copyright © 1997, Lee & Lee Dental Associates,
PC. All Rights Reserved.