Guide to Insurance

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State Health Benefits Plan

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Individual Health Insurance Coverage
In some states, there is an epidemic of children whose teeth are slowly rottening due to the lack of proper dental care. To help bring relief to this growing crisis, discount health care benefits providers have emerged. These companies do not provide health insurance, but they give an alternative that allows consumers to receive discounted fees per service. Unlike traditional insurance plans, these companies often have little or no exclusions, such as pre-existing conditions. Another plus is that consumers with immediate health care needs, can usually be seen by a doctor without having to wait for their coverage to "kick in".



A potential drawback to discount health benefits plan is that consumers will pay for services upfront or at the time of service; unless other arrangements are made with that individual provider. This, in contrary to paying a co-pay or deductible at the time of service. Consumers with flexible spending accounts or medical savings accounts will be able to take advantage of this circumstance.

In some situations, depending on your health care provider's policies, consumers have been able to use both the discount health plan alongside their insurance for even deeper savings. For example, you go into the dentist office for an extraction. The bill is $300. You hand your discount card to the insurance department, she gives you the discount, which normally ranges from 50 - 80%. This cuts your bill by up to $240! Leaving you with $60 left to pay. You pay the $60. Then file a claim with your insurance company for the $60. Let's say your insurance company pays 80% of your bill. They will refund you $48 (80%), leaving you with a net bill of only $12, for what would have cost $300 normal price, or $60 with your insurance alone.

While some consumers are struggling with the high and growing price of insurance, others are discovering the savings of discount health benefits plans. By the year 2010, it is predicted that consumer driven health care, will be the future, leaving traditional insurance plans, to be a thing of the past.
State Health Benefits Plan
A Dental insurance or dental benefit plan is viewed upon as a much sought after employee benefit. So financially it makes sense to have a dental benefit plan in place to recruit and retain employees. Moreover, dental health is a very important part of overall employee health and man days lost due to dental problems or dental discomfort of an employee equates to financial loss for the employer.

Unlike most medical conditions, dental maladies and treatments are low risk, predictable and low cost. These factors contribute to offering dental insurance to employees a good option financially. Dental diseases are preventable by maintenance and often involve only maintenance costs like x-rays and examinations. Treatment is rendered cheap due to diagnosis in early stages of the disease. Keeping these financial factors in mind, dental insurance options can also be self funded. History does not show any extremes in costs or utilization of this form of employee benefit.

Selecting the right Dental Insurance Plan

Selecting the right dental plan involves a lot of factors which have to be considered with due care.

Dental insurance plans are basically agreements between the employer and the insurance company. Most plans offered by dental insurance companies allow for part reimbursement of dental treatment expenses. Many plans also discourage certain kind of treatments or allow access to certain of dentists. To consider these points one has to go through the plan very carefully with a toothcomb. For example choosing a dentist is not same as choosing a dentist from "the list", or if the plan does not cover one kind of treatment, it is wrong to infer that your regular dentist is incompetent.

Many plans do not cover pre existing conditions. Some may not cover implants and so on. Due to these preconditions, the final treatment may be paid for in part only or in insurance parlance you might be reimbursed for LEAT (Lease Expensive Alternative Treatment). Dental insurance plans vary in fixing the UCR (usual, customary, and reasonable) in a certain geographical area. UCR may vary from plan to plan and company to company despite operating in the same area. Therefore fixation of this UCR level would define the liability of the patient. In some plans the patient may have to pay more and in some he may have to pay less depends upon the plan the employer has offered. ........(Go To Part 2)
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About Author
Both Dana Williams & Ken Charnly are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.

Dana Williams has sinced written about articles on various topics from Baby Shower, Fitness and Internet Marketing. Dana Williams is a benefits specialist in Dallas, TX. She specializes in helping individuals and small business owners save up to 80% on medical services. Visit http://www.d. Dana Williams's top article generates over 1900 views. Bookmark Dana Williams to your Favourites.

Ken Charnly has sinced written about articles on various topics from Software, Mortgage and Credit Cards. Ken Charnley is a personal finance enthusiast with http://www.online-loans-pro.com/ dedicated to quality information on online loans. For all your online loan needs. Ken Charnly's top article generates over 60500 views. Bookmark Ken Charnly to your Favourites.
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