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Dental Benefit Plan Models

There are many ways to design a dental benefits plan. Although the individual features of plans may differ somewhat, the most common designs can be grouped into the following categories:

Fee-for-Service dental plans are typically freedom-of-choice arrangements under which a dentist is paid for each service rendered according to the fees established by the dentist.

Managed Care dental plans are health plans that integrate the financing and delivery of health care services to covered individuals by means of some or all of the following: arrangements with selected providers to furnish services to members; defined criteria for the selection of health care providers; financial incentives for members to use contracted providers; procedures associated with the plan, subject to limitations and exclusions.

  • Fee-for-Service Plans
  • Managed Care Dental Plans
  • Other Types of Dental Plans
  • Questions to Ask