Traditional dental plans provide different payment based on the type of procedure. For example, preventive care, such as an exam, cleaning and X-ray, is paid at 100%, while a crown is paid at 50%.
Most plans are designed to pay 100% for preventive, 80% for routine care, such as a filing, and 50% for restorative care. However….
Most plans also have 50-70 exclusions, limitations, and restrictions, which reduce the amount paid. Because of all these restrictions, which ultimately reduce the amount paid, benefit payments, on average, are dramatically lower. This means employees get stuck paying amounts not covered by their plan.
Unlike traditional plans, the Simple dental plan is just that, “simple.” Instead of the amount of the claim check being determined by the type of procedure, most Simple plans simply pay a percentage of the claim. Like 70% or 80%, regardless of the procedure needed, even orthodontia, with no lifetime max! Plus, the only standard exclusion is for cosmetic care such as teeth whitening, which cannot be covered by federal law. Anything else is covered!
Simple dental plans are the ONLY plans where the decisions for care are left to the patient and the dentist. The plan dollars available can be used for any procedure.
Call Simple today. Find out why 98% of our clients, since the early 1990s, have never change their dental plan.
Learn More
Resource Library
|
Current Private Networks:
|