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Medical and Dental Combined Insurance Policies: Beware the High Deductible

October 16, 2017 Dental Billing, Dental Medical Billing 2 min read

In the past, most dental insurance policies were stand-alone with a reasonable deductible of about $50.00 per calendar or contract year.  Now that there are medical and dental combined insurance policies, the total deductible applies to medical and dental benefits for the year.  Because medical insurance typically has higher payouts than dental it also has higher deductibles. A patient expecting coverage for services listed as benefits has cause for alarm when they see that the charges have gone towards satisfying a deductible that can be as high as $5,000 a year.

Medical and dental combined insurance

Many dental claims are not adjudicated for payment unless the medical insurance has been billed first and a denial of benefits is received.   These policies pay better when there are medical and dental health problems that require hefty fees to be billed.  If the patient is unhealthy enough they may see fair to good coverage but who wants to be sick or need extensive dental care just to get insurance benefits?

A promising idea is to have an employer-sponsored health savings account that will kick in a certain amount if the insurance doesn’t pay the entire bill.

Dental Insurance Billing 3

Preventive care is the least expensive of all medical and dental services.  Detecting a problem early with a screening or evaluation costs far less than treatment to solve the problem.  Even so, many patients forego the preventive and wait till there is a problem and a huge expense.   This is not a wise way to live  “dodging the healthcare bullet.” 

If you have medical insurance but not dental put aside about $50-80 a month to cover preventive and basic dental care.  Don’t skip or postpone preventive care, it will save you thousands of dollars and many hours in the dental chair.

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