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Education on Dental Plans

Webinar Recordings

October 5, 2017: Third-Party Payer Contract: The Most Important Decision

August 29, 2017: Trends in the Dental Benefits Market

May 11, 2017: Electronic Funds Transfer (EFT) Payments: Exploding the Myth

March 23, 2017: Coding for Prevention: A Primer on Procedures for Long - Term Oral Health

January 27, 2017: Coordinating Benefits: How Much of My Fee Should I Write-off?

View a recording of the webinar

View a recording of the question and answer session

July 26, 2016: Signing the Contract: Understanding PPOs

June 21, 2016: Advocacy and Third Party Issues

Learn More About Dental Benefit Plans

Most dental offices need to interact with dental plans on behalf of patients seeking care at their practice. It is important that every dental office is educated on how dental plans work. Read more about Dental Benefits. Don’t forget to watch short tutorials on select topics at the Dental Benefits Video Series.  Tutorial topics include:

Part 1: Signing the Contract: Understanding PPOs
Part 2: Common Processing Policies
Part 3: Coding on a Claim Form
Part 4: Avoiding Claim Errors & Addressing Denials
Part 5: Discount Dental Plans and In-office Dental Plans
Part 6: Complying with Commercial Dental Plans Audits/Reviews
Part 7: Bitewings and Extraoral Image Procedure Codes
Part 8: Coordinating Benefits: How Much of My Fee Should I Write-Off?
Part 9: Making Sense of EOB Language

Today’s Plans

According to data from the National Association of Dental Plans:

2015 Data

  • In 2015, 211.4 million people (66% of the US population) had a dental benefit – up from 204.6 million (64%) in 2014.
  • PPOs accounted for 82% of the dental plans in the market – no percentage increase from 2014.
  • The commercial market had 78.3 million people (52%) with fully insured dental benefits versus 72.2 million (48%) with self-funded plans. 
  • The average PPO premium per enrollee per month was $31.90, down 1.5% from 2014.  DHMO premiums increased 2.3%, and indemnity premiums 8.5%, from 2014.
  • 23% of group dental policies are fully employee paid – down from 23.5% the prior year. 7% of group dental coverage is completely paid for by the employer, up from 6.5% the prior year.
  • 92% of patient’s private dental plans are employer sponsored while 7% are purchased by individuals – virtually the same as the prior year.

Additional research from the ADA’s Health Policy Institute sheds more light into issues related to the dental benefits industry.

Don’t see a topic you are looking for? Let us know at dentalbenefits@ada.org