Before sending claims for certain treatments, some dental plans need dentists to receive preauthorization, which “provides written advance approval for the planned service, which is generally valid for 60 days” (“Dental Benefits 101: Preauthorization versus predetermination” 2017). Some dental insurance policies may require additional elements...
Some people with PPO plans go to in-network dentists in order to get more coverage. Some of these dentists may change to an out-of-network status by dropping the PPO plan for reasons, such as “the lower negotiated fees required to participate in dental networks” (“Why...
Dentists can use teledentistry, which utilizes “information technology and telecommunications,” to remotely connect them to patients who cannot easily go to their clinics, such as those in rural areas, elderly people in care homes, and children in certain schools (“Teledentistry 101: Everything you need to...
Dental clinics in insurance networks must have reduced prices for some of their procedures due to their contract with the insurer (DeWood 2016). They may have to apply them to noncovered services, depending on their state and insurance company (DeWood 2016). Consequently, dentists could choose...
Larger employers have to provide their employees the opportunity to utilize continuation coverage through the COBRA program at the federal level. Albeit, small employers with “fewer than 20 employees on at least 50% of its business days in the prior calendar year” do not have...
Employers with at least 20 full-time employees must allow their employees to choose whether to temporarily keep their health insurance through COBRA when employees become unemployed (Masters). The hours of the employer’s part-time employees can be added together “to make a single full-time worker under...
Employees may lose their employer’s health insurance through many ways (Reiff 2018). However, depending on their eligibility, they can utilize the Consolidated Omnibus Budget Reconciliation Act (COBRA) program in order to temporarily keep using their former employer’s health coverage (“Don’t Worry, COBRA Doesn’t Bite Employers”;...
People can buy their health insurance policies, renew them, or change them during the open enrollment period every year (Insure.com 2018). People that enroll into them on their own during these periods can look for them “[from their] state’s health insurance marketplace… [directly] from a...
Short-term health insurance policies usually serve those who need it temporarily, such as “recent college graduates, people between jobs and early retirees,” until they can get traditional health insurance policies (Insure.com 2018; Norris 2018). However, the changes to these policies by the Trump Administration may...
Doctors in a fee-for-service (FFS) arrangement earn payments for each procedure performed on patients (Nguyen 2016). Alternatively, doctors can earn revenue through a capitation plan, in which they receive monthly or annual payments for each patient they have (Kinsey 2018). They can enroll into this...
