Dental Service Organizations, also called as Dental Service Companies, is privately owned independent companies that contract directly with various dental clinics in the United States. They provide administrative support and business management to dental clinics, which include non-medical operations. These companies have their own billing and accounting systems, and they maintain a diversified portfolio of medical and biotechnology equipment and technologies. The companies have been granted an operating agreement by the New York State Dental Association. The Company's principal business is the provision of dental care and treatment to low-income individuals and children.
The company provides two types of plans: fee for service and fee for membership. Under fee for service plans, an eligible participant can choose any dentist in the network without having to pay a referral fee. In the fee for membership plan, participating dentists agree to accept the fee for service of eligible participants, to pay all applicable costs directly to them, and to participate in a payment program that gives priority to the participating dentists. There are two plans available from the Company. One plan is offered through a fee for service contract, and the other plan is provided through a payment program designed to provide financial assistance to non-participating dental service providers. Get in touch now about dental invisalign in Baton Rouge.
Under the fee for service plan, a participating dentist can set the level of coverage as well as the percentage of insurance payments that go to cover the costs of the services. The benefit of this type of plan is that the dentist is not required to establish a payment schedule for each patient. Under the payment plan, the dentist may set the level of lifetime maximum coverage, payment frequency, and the percentage of insurance payments that go to cover the costs of services performed. A participating dental service provider may also set the level of lifetime maximum coverage for one patient and the lifetime maximum coverage for all patients in a group, if the provider participates in a program managed by the National Association of Dental Accreditation Commission (NADCA).
The second type of Dental Subsidies are the Scheduled Dental Care Plans. Under the schedule, the dentist provides dental care on a prepaid basis to the full group of eligible individuals or families. There is no limit on the number of individuals who can be covered under the dental care plan. This plan is most often provided by dentists who participate in a payment program administered by the National Association of Dentists (NADCA). This plan does not have a lifetime maximum nor does it have a payment schedule.
Of the total number of eligible individuals or families who can receive dental treatment at participating dentists, approximately half are enrolled in this program. This figure represents about 7.4 percent of the approximately thirteen million Americans who are eligible to receive dental services. An estimated sixteen percent of eligible children will also be enrolled in this program.
In summary, both the former and the latter types of Dental Subsidies are provided at the option of the individual or family member. They are both designed to provide dental care in a setting that does not require clinical expertise, such as at a local hospital or other inpatient setting. The primary difference between the two plans is that Dental Subsidies are designed to be utilized by low-income individuals or families who may not otherwise be able to afford comprehensive coverage. If a person is employed and pays at least 30 percent of his or her salary in insurance premiums, they may be eligible for a Dental subsidy. View here for further information and services.
