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The typical plan comes without annual limits, and shorter waiting periods to activation. Some plans cover cosmetic dental procedures as well, although this is less common. A standard dental discount plan has a limited roster of dentists within its approved network, similar to dental insurance. [1]
With indemnity dental plans, the insurance company generally pays the dentist a percentage of the cost of services. Restrictions may include the co-payment requirements, waiting period, stated deductible, annual limitations, graduated percentage scales based on the type of procedure, and the length of time that the policy has been owned.
A copayment or copay (called a gap in Australian English) is a fixed amount for a covered service, paid by a patient to the provider of service before receiving the service. It may be defined in an insurance policy and paid by an insured person each time a medical service is accessed.
The Delta Dental Plans Association, also known as simply Delta Dental, is an American network of dental insurance companies composed of 39 independent Delta Dental members operating in all 50 states, the District of Columbia and Puerto Rico. These member companies provide coverage to 85 million people, enrolled in over 157,000 groups.
Medigap Plan N and Plan F are supplemental insurance policies that each offer similar benefits. These plans pay for some out-of-pocket expenses due to coverage gaps in Original Medicare.
In 1946, HMSA joined the Blue Shield Association. During the 1950s, HMSA introduced a Major Medical Plan to help protect against the cost of catastrophic illness. [4] In the 1960s, HMSA developed health plans for senior citizens, college students, and the unemployed. Drug, dental and vision plans, and preventive benefits, were introduced.