Protected: Golden Rule Insurance Company Health Plan Overview
Medicare Part A
Medicare Part A usually begins when turning age 65. Medicare Part A coverage is typically free if you or a spouse paid Medicare taxes during your working career. The majority of Americans are automatically enrolled in Medicare Part A when they are 65 years old. To receive Part A you must be already eligible to receive retirement benefits, either through Social Security or the Railroad Retirement Board. However, you do don’t have to be actively collecting Social Security benefits as many people wait to file. Disabled Americans who are under age 65 and receive Social Security or Railroad Retirement disability benefits are often eligible for Part A after 24 months, and those diagnosed with End-Stage Renal Disease can obtain Medicare Part A.
Key Points of Medicare Part A
- Americans may receive their Medicare Card three months before their 65th birthday
- If you receive Social Security checks and turn 65, you are enrolled in Medicare Part A automatically
- Most Part A beneficiaries will pay zero premium if they contributed 40 or more quarters of work
- Medicare Part A becomes effective the 1st day of the month of the beneficiaries 65th birthday
What does Medicare Part A Cover?
Medicare Part A is mostly associated with inpatient hospital care. Here is what you pay:
- $1,364 annual hospital deductible
- Days 61-90: $341 per a day
- Days 91 and later (while using 60 lifetime reserve days): $682 per a day
Important: After lifetime reserve days are used Medicare pays nothing, the beneficiary is responsible for all hospital charges.
Keep in mind the above information only lists costs for Medicare Part A. You would also have Medicare Part B costs.
Blood covered under Medicare Part A
Part A annually covers the first three pints of blood at no cost to the beneficiary. The Medicare beneficiary is responsible for paying for all additional pints of blood per calendar year.
What Else does Part A Cover?
Medicare Part A covers expenses that are incurred during a stay in the hospital as well as brief Home Health services for some situations, and sometimes brief Hospice care and Skilled Nursing Facility care, and occasionally Nursing Home care, provided you are not merely in need of assistance with daily living. Mental health care is also a covered service when admitted to a hospital as an in-patient.
Medicare Part A does not cover cosmetic surgery, acupuncture, eye exams for the purpose of prescribing glasses, most dental work, dentures, standard foot care, custodial care or hearing aids and the exams required for fitting them.
Need Help Understanding Medicare Part A?
The easiest way to get help with understanding Medicare Part A is to fill out a request online to speak with us. It only takes ten or fifteen minutes to do a brief overview to Medicare Parts A and B. In the event that more information is needed, we could help direct you to your local Social Security office for an in person appointment.
While Medicare may seem confusing, we strongly urge you to contact us sooner than later. We find many Americans spend a great deal of time looking at the wrong Medicare products or over complicating how Medicare works. Sometimes a nice conversation with a knowledgeable person, can greatly ease the tensions that come with learning something knew and transitioning to Medicare.
What if I want Medicare with No Co-pays or Deductibles?
Medicare with no cost sharing is no problem. About 25% of all Medicare recipients have Part A and Part B. They add a Medicare Supplement to cover their deductibles and co-pays, and Part D, a prescription drug plan. Our office can easily help with this process. As always, our services are no cost to you.
Get Humana Dental Insurance Online
Humana dental insurance is an affordable way to obtain dental coverage in many states. Humana offers a rang of plans including PPO and HMO options. The Dental Preventive Plus is the most affordable plan, while the Dental Loyalty is the most comprehensive. If you are normally in need of major dental work the Dental Loyalty would be the best way to go. Get a Quick Quote.
Which Humana Dental Insurance Policy is Correct for Me?
Humana offers different levels of coverage to meet different needs. Humana dental insurance can also be combined with a vision plan. All coverage is easy to understand and easy to purchase through this site. Humana’s PPO network includes hundreds of thousands of dentists and optometrist. No matter which policy you choose, you’ll have access to a large number of providers.
Dental Loyalty Plus Plan by Humana
Dentist Options: Choose any dentist, in-network or out-of-network. Get enhanced saving by using an in-network dentist.
Annual deductible: One-time deductible for the life of the policy: $150 per person up to $450 for a family.
Preventive / Routine cleaning / X-rays: Plan covers 100% for two cleanings a year and 40-70% for X-rays.
Office Visits: No copay. Coverage or possible discount is based on unique services provided.
Annual Maximum Benefits: $1,000 1st year, $1,250 2nd year, and $1,500 3rd year and onward.
Waiting Periods: None. You can start saving right away. The longer you have the plan the more you save!
More about Humana Dental Loyalty Plus
The Humana Loyalty Plus plan REWARDS YOU with increasing benefits from years one to three. This plan has no waiting period for covered services. Members can choose to visit any dentist that you prefer. However, you can save even more by accessing Humana’s dental PPO network and picking one of the more than 130,000 dentists who are contracted with Humana to offer you lower rates.
Humana Dental Preventive Plus
Dentist: Choose any dentist, in-network or out-of-network. Stay in-network and access enhanced savings.
Annual Deductible: $50 for one person or up to $150 for a family ( deductible does not apply to discounted services).
Annual Maximum Benefits: $1,000.
Preventive / Routine cleaning / X-rays: Plan covers 100%.
Office Visits: No copay. All coverage or possible discount is based on services provided.
Waiting Periods: No waiting period for preventive care services; 6 months for basic dental services like fillings and oral surgery.
More on the Dental Preventive Plus by Humana
While the Humana Dental Preventive Plus focuses on coverage for preventive and basic services, discounts may be available on major services like crowns, bridgework, as well as orthodontics for people of all ages. These special Humana dental insurance discounts are only available with in-network dentists. After you get a dental quote, you can see more details about benefits and discounts.
Texas Obamacare Review
This is a letter from one of our health insurance clients, we though we would share this information
Obamacare is something that seems like a great idea, although the results have not been the best. I have a fairly unique perspective on the Affordable Care Act, based on the fact that I have experienced this from a variety of angles. I was originally on my parents health insurance plan, as you can remain on this type of plan well into adulthood. This plan was fairly expensive, but the overall quality of health insurance was absolutely top notch. I found myself in my twenties and having very little income, while having to rely on food stamps. I applied for MarketPlace Health Insurance, which is the platform to get health insurance in the state of Texas.
Based on the income that I was making at the time, I was only qualified for Medicaid, which is a program for health insurance that is at the bottom end. There were not really any options to select, but it all was essentially free. I ended up making a doctor appointment and when I got to the medical office it appeared more like a homeless shelter than a medical facility. The wait time to see a doctor was incredibly long, the service was terrible and the overall quality of health insurance was dismal. The only benefit I perceived in this Medicaid system was potentially being able to receive coverage in a hospital if I was in some sort of emergency. This system did not appear to work at all, based solely on the fact that the volume of people crowding into these medical offices were huge.
Since that time my income has increased to the point that I am qualified to purchase a plan through the state network. I got referred to www.QuoteFinder.Org from my friend and I purchased an Obamacare plan that I had the last few years and could not be happier with my plan. My insurance was very affordable each month, based on the fact that there is a subsidy that is attributed to my plan each month. This lowers the actual cost, allowing me to pay my bills, yet at the same time have access to a top notch medical network. My plan was originally around thirty dollars per month. The overall quality of my insurance has not changed since I’ve been on the plan. The main concern that I have had with the Affordable Care Act is the fact that you need to be able to make a certain amount of money in order to receive a legit plan. The reality is, if you are making under twelve thousand dollars, you are inevitably going to have a plan that is low quality. If you make over that amount, you have access to a plan that is going to provide a great level of protection for yourself and your family.
Now, here is my problem for 2018. I got a raise and my plan has gone up to $487 a month to have the same good level of coverage. So now in 2018 I am being punished for making too much money (it’s really not that much money at all). I called my agent and we reviewed some non-compliant policies. So now I pay $118.00 a month for short term health insurance and I don’t have Obamacare. That was the only way I could stay insured, have a low deductible and still get to see my doctor, which I hardly ever go anyways.
At this point, I guess I am happy with my medical insurance, although my country and government does not understand as American’s we all need to have access to the same level of coverage. It is unacceptable for people to solely base a plan availability on meeting a random set of income requirements.
If you are interested in Short Term Medical, learn more here.
Affordable Dental Insurance Plans for Seniors
Keep your teeth healthy with dental insurance for seniors. This site provides seniors with many options for affordable dental insurance. As humans begin to age, we find our teeth need more and more care. One of the simplest things you can do is have quality dental coverage to keep on track with your dental needs.
You can read below for more information or Get a Quick Quote.
Dental Insurance for Seniors Plan Benefits
No Co-pays for Preventive! This means you get two cleanings, two exams, and X-rays each year, and you pay nothing. Free fits in everyone’s budget!
During those tough years when dental problems occur, you only pay a $50 deductible and then the plan pays percentages between 50% and 80% depending on which plan you choose.
Access to National PPO Networks! PPO dental plans are popular for seniors due to ease of access. PPO plans allow members to select their own dentist. These plans are praised not only for flexibility, but also the access they provide to low cost dental procedures compared to indemnity plans. With a PPO dental policy the insurance company give you negotiated rates. Essentially, the insurance company has the dentist sign a contract guaranteeing you wholesale rates. While PPO networks offer the greatest savings to plan members who select an in-network dentist, members still have the freedom to choose a provider out-of-network.
Increasing Annual Maximums! Many dental insurance plans for seniors reward you for continued plan participation. Plans such as the Humana Loyalty Plus. Meanwhile the Dental Gen Plans give you first day benefits beyond a $1000 limit.
You can read below for more information or Get a Quick Quote.
When Can I Use my Senior Dental Insurance?
In many cases after you are enrolled, all covered benefits are available on your effective date. After submitting your application, it takes about seven days to receive your card in the mail. It is best to wait for your card before going to the dentist, but many applicants do book an appointment right after they apply for coverage.
Need Coverage? Get a quote on Senior Dental Insurance Plans.
Is Dental Insurance for Seniors Available for my Entire Family?
Yes, it is no problem to enroll your spouse, or your children on your dental policy. The rates do go up in relation to the amount of members you have on the policy. Larger families may see a slight discount in cost. When adding vision to the dental policy, the dental and vision package will give you more discounts depending on household size.
Dental Insurance for Seniors has Vision too?
Yes, you can add vision insurance for a very little amount. Many plans only charge $5 – $7 extra for vision insurance. Seniors can save a great deal of money by packaging dental and vision.
How much does Senior Dental Insurance Cost, I’m on a budget?
With millions of seniors being on a fixed income, dental insurance coverage may not fit in everyone’s budget. The good news is that some plans available are as low as $16 a month. While these plans do have limitations, they still get you access to much needed dental care. The key point to dental care is routine. Individuals with dental insurance are twice as likely to have a cleaning every six months as opposed to a person without dental insurance. A great benefit of dental insurance is that it adds structure to a person’s dental care. When cleanings are free members take advantage of the benefit.
Dental Insurance Companies for Seniors
There are many dental insurance companies for seniors. Some companies specifically sell policies to seniors, while other companies are open to applicants of all ages. Some larger states such as Florida and Texas have many options for senior dental insurance, while smaller states may only have a few plans available. Here is a listing of some of the most popular companies offering dental insurance through seniors.
Aetna Dental Insurance
Aetna Dental Insurance is offered in limited areas at this time. Aetna mostly offers coverage to employers and companies that participate in large group coverage. In years past Aetna dental insurance for seniors was mostly offered in conjunction with a Medicare Supplement plan.
Anthem Dental Insurance
Anthem Blue Cross Blue Shield offers dental insurance in most states, and is probably the most popular in Georgia, Indiana, and Virginia. However, the Anthem BCBS dental is currently overpriced. If you have Anthem Blue Cross Blue Shield dental insurance, we strong suggest getting a quote for a new plan. Anthem is a popular option for employer group dental, but not as much for individual coverage or dental insurance for seniors.
Assurant Dental Insurance
Assurant Health which has recently come to be known as Time Insurance company. Offers indemnity dental insurance. These plans are neither PPO nor HMO, but rather a policy that focuses on re-reimbursements. These types of plans are best for people whose doctors are not, in-network, and do not accept insurance. The problem with Assurant dental is that applicants have to file claims on their own. So first you would pay for the service, and then submit the claim to the insurance company.
Cigna Dental Insurance
Cigna was recently purchased by Anthem Blue Cross Blue Shield, but they still offer dental policies for seniors under the Cigna name. Cigna dental is available in a handful of states. Like it’s parent company Anthem, Cigna dental is most commonly purchased by employers and used in connection with large group insurance.
You can read below for more information or Get a Quick Quote.
Humana Dental Insurance
Humana dental insurance is marketed under the branding of HumanaOne. HumanaOne dental insurance is a true individual product created for people who have to buy their own coverage. Visit our HumanaOne Dental Insurance web page to learn more.
Golden Rule Insurance Company – a UnitedHealthcare Company offering Private Dental Insurance
This dental insurance is underwritten and sold by Golden Rule Insurance Company. It is a commonly purchased dental insurance for individuals and families of all ages. These dental insurance products have existed for decades and have the ability to offer quality PPO coverage. Golden Rule Insurance Company, is a UnitedHealthcare company that offers it’s policies to individuals, families, and seniors. It also has an optional vision rider which many applicants add to their policy. Visit our Golden Rule Dental Insurance web page for more details.
What about Discount Dental for Seniors?
Be very leery of any Discount Dental Plans. A Dental Plan is NOT Dental Insurance. All the plans we represent on this site are REAL Dental Insurance. This means it would contain plan benefits typical to what you may have experienced in the past through an employer. One of the most notorious sites for discount cards is DentalPlans. It is very seldom that these products would make sense to purchase. Discount cards seldom contribute ANY money toward any procedure. They simply get you a discount…. Discount Cards are NOT insurance and are NOT reviewed by the department of insurance.
I thought Medicare Covered My Dental Insurance Needs?
No, Medicare does not cover you dental needs. Some Medicare Advantage plans may offer limited dental coverage, but for the most part Medicare Part A is Hospital and Medicare Part B is out-patient. The good news is QuoteFinder.Org offers several affordable dental insurance plans for seniors.
How do I Get a Quote on Dental Insurance for Seniors?
It is best to fill out the quote form below to get access to a number of plans available to you. The quote form below will give you more information.
Medicare and Dental Insurance Plans for Seniors
Once a year Medicare beneficiaries can enroll into or change their Medicare Advantage Plan. This year’s Annual Enrollment Period runs from October 15 to December 7. This is also the best time to also check on dental insurance.
Medicare will not cover most dental needs. For example Medicare does not cover dental procedures, or supplies, like cleanings, fillings, tooth extractions, dentures, dental plates, or other dental devices. The exception would be reconstruction of the jaw following accidental injury that severely damaged the individual.
Some Medicare Advantage plans do have a limited dental benefit, however this is not the comprehensive coverage a person is used to from when they may have had employer group benefits. What is more concerning is Medicare recipients are more in need of dental coverage than any other segment of the population. The average person over 65 years old or older spends $1,154.00 a year on dental care.
If you have Medicare Supplement insurance, then you also do not have dental coverage.
Many seniors are now purchasing an individual dental plan to get comprehensive coverage on services such as root canals, dentures, crowns, bridgework, and dental implants. Here are some standard listings of what most dental policies cover.
- No waiting periods on most preventive and basic services
- Fixed pricing, regardless of age
- No deductible for preventative services
- Coverage for major services, including crowns, bridges, root canals, dentures and implants
- PPO dental plans with nationwide dental networks
Be sure to check on Senior Dental Insurance today.
GPM Dental Insurance Plans With No Waiting Periods
GPM Life and Health Insurance Company is somewhat of an unsung hero in the insurance industry. An acronym for “Government Personnel Mutual” (Life Insurance), this company has well over 80 years of experience insuring individuals and families of all types. Offering two unique plans that save you money, and having the benefit of being part of the huge Ameritas network of providers, every individual and family benefits with GPM’s 2,500 dental plans.
For those wishing to use an in-network provider, the GPM dental insurance 2500 plan will give you low deductibles, no waiting period, and access to the huge Ameritas network of dental services providers. The generous $2,500 annual plan maximum gives you peace of mind that no matter what your family’s dental needs, you’ll have quick and easy access to services at an affordable price. The low calendar year deductible of just $25 for up to a maximum of three charges per family also helps keep costs down. There’s never any enrollment fee(s) and you can enjoy the savings from the first day. Coverage amounts also increase on basic services each year you and your family are enrolled, allowing you to enjoy additional savings. Both the network and out of network offerings give you substantial savings on your dental costs such as:
- 100% coverage for preventative services such as cleanings, exams and x-rays
- Up to 80% coverage for basic services such as fillings and extractions
- Up to 50% coverage for major procedures such as bridges, crowns and implants
You’ll be happy to know that GPM dental insurance plans cover exams and preventative services are always covered at 100%, so you’ll never have to put off getting to the dentist. After the first year, basic services coverage increases 15% per year up to the maximum of 80% in the second (and subsequent) year(s). Major services are covered at up to 50% after the first (and subsequent) year(s).
As previously mentioned there are two plans available under the GPM 2,500 umbrella. The GPM 2,500 Network plan is for those who are using or would like to use an in-network dentist that participates in the Ameritas dental network of providers. The network has over 400,000 location choices and 100,000 providers. The Ameritas dental network offers discounted prices, which typically average 30% less than the average for the area.
For members who prefer to have the flexibility of using any dentist, in or out of network, would benefit the most from the GPM 2,500 plan. Additional savings can be achieved for members who choose to stay in network.
Whichever plan is perfect for you and your family, you’ll be happy knowing that the signature personalized customer service offered by GPM Life and Health Insurance Company is certain to please. Also offering life insurance, annuities, final expense and Medicare Supplement plans, they have the right coverage for any family. With over 80 years experience in the business and makes the marks with an A- (Excellent) rating from A.M. Best Company, you’ll be happy knowing that you have an industry expert on your side.
As always, refer to the plan details of your policy or your insurance agent regarding specific details of the plan. Contact your insurance agent to get you and your family started with this great and flexible coverage today!
GPM DENTAL PLAN DETAILS – Dental $2,500
This plan is sponsored by GPM Health and Life Insurance Company
Underwritten by Ameritas Life Insurance Company
- PREVENTIVE SERVICES: Includes exams and cleanings (2 per year), bitewing x-rays – Policy pays 100% day one
- BASIC SERVICES: Includes fillings, simple extractions and panoramic x-rays – Policy pays 50% day one / 65% after year one / 80% after year two
- MAJOR SERVICES: Includes implants, oral surgery, endodontics, periodontics, crowns, bridges and dentures – Policy pays 25% day one / 50% after year one
GPM DENTAL PLAN DEDUCTIBLE
$25 Calendar Year Deductible per person for preventive, basic and major services combined with a maximum of three deductibles per family.
GPM MAXIMUM ANNUAL BENEFIT
$2,500 Calendar Year Maximum Benefit Per a Person.
Are you in need of Dental Insurance that provides coverage immediately? If so please check Dental Insurance Rates in your area:
Dental 2500 brings you the Ameritas dental network with features like:
• Discounted fees, typically 30% below average charges in your community
• Immediate network discounts
• One of the largest nationwide networks with over 400,000 access points and 100,000 unique providers
Plan options utilizing the Ameritas dental network:
The Dental 2500 Network (MAC/MAB) plan is designed for those who will visit an Ameritas dental network provider. If you visit an in-network provider, your out-of-pocket costs will almost always be less because of the contracted fees (MAC/maximum allowable charge). If you visit an out-of-network dentist, you pay the difference between what the plan pays and the dentist’s actual charge (MAB/maximum allowable benefit), which may result in higher out-of-pocket costs.
The Dental 2500 plan is designed for those who value the freedom to visit any dentist, but will enjoy additional savings with an Ameritas dental network provider. While all of our plans allow you to choose any dentist, this plan offers you richer benefits out-of-network than our Network plan. If you use a non-network dentist, covered benefits are paid at the 80th percentile of usual and customary charges. You pay the difference between what the plan pays and the dentist’s actual charge. If
you use an in-network provider, your out-of-pocket costs will be based on the contracted fees (MAC/maximum allowable charge), which may result in lower out-of-pocket costs.
Senior Dental Quotes
The form below is the first step to reviewing all the senior dental insurance plans available in your area. This website works with dozens of dental insurance policies. The best dental insurance policy depends on your exact needs.
Hot Tip: Insurance companies make less money from seniors than any other age group. Seniors have a high rate of plan usage.
Begin My Senior Dental Insurance Quote
Once you submit for your senior dental quote, you will learn about many options that are available. Below are just a few images of some of the most popular dental insurance brands. Our website works with 22 different dental insurance companies and over 50 different plans.
How long until I can use my Dental Insurance?
Preventive dental coverage such as cleanings are always available to use instantly. This means on your policy effective date you are allowed see the dentist, get cleanings, x-rays, and exams.
Some Basic and Major dental procedures may have waiting periods associated with the treatments. However, we work with many companies that offer coverage instantly on basic and major dental work. Learn more about this on our dental insurance page.
What is the Best Senior Dental Insurance Plan?
Our licenses staff handles over 100,000 calls per a year. The only thing we absolutely know 100% for certain is that the best plan depends on what the client needs. QuoteFinder.Org is a site that focuses 100% on the needs of the client. Many times we speak with a husband and wife whose needs are so different, that we enroll them on different dental policies. As an independent insurance agency that is U.S. owned and operated (we never outsource), we earn modest incomes selling affordable consumer driven dental insurance policies, but we understand that each senior needs to be lined up with the best dental insurance policy to meet their unique needs. Many of our policies are only $17 to $40 a month.
If you are reading this exact web page, then it probably means you have dug through the internet and have not found the product that fits your budget and meets your needs. That is the exact client we are looking for. It takes 14 months for our QuoteFinder.Org to train a new agent because the dental insurance world is extremely large. We take pride in helping you on your search.
For every good dental product being sold, the internet has 65 bad products. Our licensed staff can keep you away from the bad products and guide you in the right direction. Approximately 50% of the people we speak with enroll in a plan with us. We have an excellent chance of meeting your senior dental insurance needs.
What is the Best Dental Insurance Plan For Me
While there is not a Best dental insurance policy, their certainly is a Best dental insurance policy for YOU! Our office as spoken to tens of thousands of dental shoppers and with no doubt some plans will work better for you and your family than others. Plans differ primarily in how much you’ll have to pay monthly for your coverage and how much you’ll have to pay when dental services are performed. Most policies require that you pay a co-pay for basic or major services, or meet a specific deductible before the dental insurance begins payment. Other policies limit coverage to a specific dollar amount maximum per year.
However, the main place to start is with your dentist. To be honest most dentists are not even 100% certain of which policies they take and they do not take. This is because a company like Aetna, Anthem, Cigna, and United Healthcare have dozens of different PPO networks. For that simple reason, we strong recommend you work with our office, so we can see which policies your dentist prefers. We do this by checking with numerous insurance companies. As a consumer this access is not readily available to you, so we do the legwork on our end.
When shopping dental insurance, here are questions to ask yourself:
- How much can I afford or would like to spend on monthly basis?
- How much is the deductible?
- Once the deductible is met, how much will the policy pay for my services?
- What dentists participate in the plan’s PPO network?
- Are these dentists that my family and I would like to see?
- Am I willing to change my dentist if it means saving money?
- If I used a dentist outside the plan’s network, how much will I have to pay?
- Are some plans better than others of out of network?
- Are there waiting periods for certain procedures? How long can I wait?
Rather than trying to figure all this out on your own, it is advised to simply get a quote with us and we can help you narrow down your options.
Anthem Blue Cross Blue Shield Dental Insurance Can Help You
Dental health is a vital part of your overall health care. So much so that many symptoms of diseases first show up first in your mouth. The mouth can show early warning sign of general health problems. That is why it is so essential that you have regular dental checkups.
Because your dental health is such an essential part of overall health care, it follows that you should have adequate dental health insurance.
It follows, too, that you should choose Anthem Blue Cross Blue Shield dental insurance.
Here’s why Dental Insurance is purchased through Anthem.
Full preventive coverage is available through Anthem
Many of our plans cover you fully for X-rays, examinations and teeth cleaning. You need not be concerned about additional costs or be hesitant about having your teeth checked regularly. All those expenses are fully covered, providing you with peace of mind from the first day of coverage.
Multiple Dental Plan Choices
You can choose to obtain a dental plan that is part of your overall health care plan or you can obtain a dental plan that is separate from a comprehensive plan. You might find that a separate plan is advantageous to your needs as it offers more choices and more benefits. Your decision depends to a great degree on how you apply for coverage and how you are billed.
Among your choices for a dental health plan are:
- Anthem Dental Family Value
- Anthem Dental Family
- Anthem Dental Family Enhanced
- Dental Smart Access
- Added discounts available on all services
Anthem has one of the most extensive preferred provider organizations (PPO) networks in the nation. Although you are permitted to see any dentist under our plans, choosing a dentist from our network provides you with many benefits. Among those benefits is that we are able to obtain deep discounts for you that range from 25 percent to 32 percent.
Because we have negotiated these rates with our network doctors, they cannot charge you more than these rates. If you choose a network dentist, you pay that dentist your deductible and the percentage that your insurance does not cover. As a result, you save on paperwork because the dentist sends your claims to us directly and we pay the dentist directly.
If you choose a non-network dentist, however, you pay the dentist your deductible, the percentage not covered by your insurance, and the difference between what the dentist charges you and the full amount that we permit to be paid for a dental service. You or your dentist may submit your claims to us and we pay you or your dentist for covered costs.
Because non-network dentists do not have contracts with us, they are able to charge you the difference between the amount we permit for a service and the amount they normally charge, in addition to your coinsurance or deductible. The result is that you pay higher amounts for services from non-network dentists.
Online Dental tools to assist you further
Our services to you go beyond seeing a dentist. We offer you an advice service that you can access via the Internet. Once you are a member, you can log on to anthem.com to access these tools. Click Here to enroll in Anthem Dental.
Here are three of our great online tools that will enable you to gain a better hold on your dental health.
– Ask a Hygienist
You can email your questions to licensed dental professionals who will provide you with fast, personal and private advice at no extra charge.
– Dental Cost Estimator
This tool enables you to obtain estimated costs for your dental work in your area. You simply enter the ZIP code of the area in which you obtain your dental care.
– Dental Health Assessment
In this tool, we ask you a few questions. Based on your responses, we provide you with information that will advise you on action that you should take in order to maintain proper dental health.
Health care reform and pediatric benefits
Under the Affordable Care Act (ACA), all Americans are required to carry a minimum amount of health insurance. Among these requirements are a list of 10 health benefits that health insurance carriers must cover. One of those 10 benefits is pediatric services.
In some states, these services must be included in ACA-compliant plans sold on the Marketplace (also called the Exchange). In other states, however, the benefits can be offered in medical plans off the Marketplace or through a stand-alone policy sold with a medical plan.
Almost all our plans have included pediatric dental coverage since January 2014.
You can obtain this coverage either through a medical plan or through an independent plan such as Anthem Blue Cross Blue Shield Dental Insurance.
If you are eligible for financial aid to assist you in obtaining medical coverage, you are required to obtain your medical plan through the Health Insurance Marketplace. If you are ineligible for financial help and you require a dental plan, you are not required to obtain it on the Health Insurance Marketplace. You can continue to obtain coverage as you have in the past through an agent or directly from an insurance company.
You may find the plans that are not provided through the exchange offer more selections. For more details contact us or view Anthem brochure