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the Money
the Money
What is referred to as a 'annual pot of money' the client can use each year?
What is an Annual Maximum Benefit?
The lowest Tier of Dental Service
What are Preventative Services?
Can be referred to as 'prophylaxis', these often occur every six months and remove dental plaque from the teeth.
What are routine cleanings?
Industry term for root canals.
What is Endodontics?
Refers to services related to the gums and gum disease.
What is Periodontics?
The amount of money an insured must pay before their plan will begin to pay any benefits.
What is a deductible?
This is the lowest Tier which will require the client pay the deductible.
What is the Basic Tier?
Even without natural teeth, this exam can check for problems w/the gums, oral cancer, & even indications of diabetes!
What is a routine exam?
Fits over the tooth like a snug hat. Comes in a variety of materials. Can be used for cracked/broken teeth, over a root canal or implant.
What is a Crown?
Involves the removal of the tooth in addition to gum tissue, bone or both.
What is Oral Surgery?
The _______ _______ is a discount off the out of pocket cost of services, from an In-network/Contracted provider.
What is the Contract Rate?
This Tier may require a waiting period.
What is Major Services?
A tooth colored resin material.
What is a composite filling?
Used when damage it too large to restore with a normal filling and too small to require a crown.
What is an Inlay?
For most carriers, limited to those people who are under the age of 14.
What are Space Maintainers?
A period of time from the start of coverage that the client will have to wait to have certain services covered by the plan.
What is a waiting period?
Plans generally have a 100% coinsurance in this Tier.
What is Preventative Services?
This simple procedure typically uses forceps and does not require surgery or incision.
What is a Simple Extraction?
Can be full or partial; are made from acrylic, resin, nylon, metal or porcelain. Recommended to be re-lined every 1-2 years.
What are Dentures?
This substance helps prevent tooth decay and can be in the form of foam, Varnish or gel.
What is Fluoride?
These have different percentage levels of coinsurance that the carrier will pay.
What are Tiers?
The______ the coinsurance level, the ______ the client will spend out of their pocket.
What is 'higher' and 'less'.
This protective coating shields the chewing surfaces of your back teeth from harmful, cavity-causing bacteria.
What is a Sealant?
Permanent, mostly titanium, metal screws attached to the jawbone covered by a crown.
What is an implant?
Can average up to 3,000 per tooth.
What is an Implant?