Which of the following is not covered under a dental insurance plan quizlet?
Asked by: Prof. Domingo Daugherty Sr. | Last update: February 11, 2022Score: 4.8/5 (48 votes)
Which of the following is excluded in a dental insurance plan? Lost dentures are specifically excluded from coverage in a dental plan.
Which of the following is excluded in a dental insurance plan quizlet?
Dental plans typically exclude cosmetic services (unless required by an accident), replacement of lost dentures, duplicate dentures, oral hygiene instruction, occupational injuries covered by workers compensation, or services provided by government agencies.
Which of the following is NOT apply toward the deductible under a non scheduled plan?
Nonscheduled; Under nonscheduled plans, routine examinations and preventative care generally do not apply toward the deductible.
What type of dental treatment addresses the supporting tissue of teeth?
Periodontist — A dental specialist who treats diseases of the supporting and surrounding tissues of the teeth. Patients with periodontal (gum) disease are treated by a periodontist.
What are the 4 main categories of dental coverage?
Class 1: Preventative and diagnostic care, such as x-rays and cleanings. Class 2: Basic restorative care, including fillings and root canals. Class 3: Major restorative care, including dentures, bridges, and crowns.
Dental Insurance Training - "Im only doing what the insurance covers"
What is included in basic dental care?
What is basic dental care? Basic dental care involves brushing and flossing your teeth regularly, seeing your dentist and/or dental hygienist for regular checkups and cleanings, and eating a mouth-healthy diet, which means foods high in whole grains, vegetables and fruits, and dairy products.
What does medical cover for dental work?
Medi-Cal Dental Program
Diagnostic and preventive dental hygiene (e.g. examinations, x-rays, and teeth cleanings); ... Tooth extractions; Fillings; Root canal treatments (anterior/posterior);
Which of the following is not covered under a dental insurance plan?
Which of the following is excluded in a dental insurance plan? Lost dentures are specifically excluded from coverage in a dental plan.
Is prophylaxis covered by insurance?
If you have traditional dental insurance, it will probably cover some - if not all - of the cost of a standard teeth cleaning. ... Whether you call it a prophylaxis or a “tooth cleaning,” discount dental plans can furnish you with the high quality care and financial savings you deserve.
What type of dental care covers crowns?
Major restorative care: This includes things like bridges, crowns, and dentures.
What is dental deductible?
A dental deductible is a set dollar amount you are required to pay before your dental plan starts to help pay. You will pay your dentist for any non-preventive dental care until you meet this plan deductible. Preventive dental care is covered 100% by most dental plans, so the deductible doesn't apply to these plans.
Which of the following is a common exclusion under dental expense insurance?
All of the following are common exclusions found in dental insurance plans EXCEPT: routine oral examinations. ... Which of the following statements concerning group dental insurance is correct? Under certain circumstances, services received after termination of coverage are still covered.
Does dental insurance cover a crown?
Dental insurance does cover crowns, but only when they are medically necessary. The coverage for a crown is usually 50% of the cost of the procedure, with the patient liable for the rest. Waiting periods of up to one or two years after you have purchased dental insurance can apply to its coverage of crowns.
Which type of dental care corrects natural teeth misalignments with dental appliances?
Orthodontist — A dental specialist who treats the misalignment of the teeth and their surrounding structures, using appliances such as braces and retainers.
Which of the following provides coverage on a first dollar basis?
Which of the following provides coverage on a first-dollar basis? A basic policy will provide coverage on a first-dollar basis (no deductible) the insured must pay a CORRIDOR DEDUCTIBLE before the major medical coverage will pay benefits.
Which type of dental treatment involves the replacement of natural teeth with artificial devices?
Prosthodontics The discipline or specialty of dentistry concerned primarily with providing artificial replacements for missing teeth. Prosthodontist A dental specialist whose practice is limited to the restoration of natural teeth and/or the replacement of missing teeth with artificial substitutes.
Why do some dentists not take insurance?
Dentists are business owners. They perform a valuable service. Many don't want to lock themselves into a set fee. ... So, to answer the question, usually, a dentist does not accept insurance because he or she does not want to lock themselves into a fixed service fee.
What is an important feature of a dental expense insurance plan that is not typically found?
An important feature of this plan which is typically not found in medical expense insurance plan is the inclusion of diagnostic and preventive care (teeth cleaning, fluoride treatment etc).
What is comprehensive dental insurance?
What Is Comprehensive Dental Care? When a dental office offers comprehensive dental care, that means it offers a full suite of services. From preventive to restorative to cosmetic dentistry, dentists can provide comprehensive treatment so that you can get all of the care you need in one place.
Are dental implants covered by insurance in India?
The expenses covered under the dental insurance plan in India are as follows: Root Canal Procedures. Dental Implants. Infections and Oral Cyst.
Is oral surgery covered under medical insurance?
Most health insurance companies in India do not provide any coverage for dental procedures as they fall under the cosmetic treatment category. However, procedures arising out of accidental injuries are often covered by insurers.
Are dentures covered by insurance?
Yes, dental insurance does cover dentures. It is considered a major procedure and is generally covered at 50% of the cost, with you paying the balance.
Why is dentistry not a medical specialty?
No, dental is considered a separate entity from medical. This is because dentists and doctors undergo different training and schooling. Most of the time, x-rays and other preventative dental care is not covered under typical medical plans. Because of this, you will need a dental plan that covers oral care.
Why are dental claims denied?
Data entry errors: Errors in patient information on the claim is a common reason for denial. ... Issues in Coordination of Benefits (COB): COB occurs when a patient has more than one dental plan and can use both to cover their dental procedures.
Is dentistry considered health care?
Dentistry is an essential health care service because of its role in evaluating, diagnosing, preventing or treating oral diseases, which can affect systemic health.