Many employers use dental insurance as a benefit component to attract top employees. In addition, individuals often use dental benefits to supplement their personal dental expenses. With many changes in reimbursement fees occurring in the dental insurance industry, dental benefits may not be a benefit at all. In fact, some dental plans may actually hinder employees from obtaining the best care available.

To maintain profit margins dental insurers are cutting provider reimbursements to near break-even rates. At times, insurance reimbursement is less than the cost to perform the service. New methods can be more effective, but are often rejected in favor of cheaper, outdated methods.

Today with dental care expenses and dental insurance plans premiums rising, along with dental coverage limitations and many dentists not accepting some dental insurance anymore, a dental discount program can be a good way to help clients save money on dental care.

For more information, please Contact Us or call one of our Marketing Directors at 1-888-569-2002.

 

What happens to the patient as dentists and insurance carriers negotiate over fees?

- Patients are denied access to new procedures because they are not covered by their insurance.
- If the dentist provides the highest quality care, he/she must absorb a loss in revenue, or bill the patient for the balance of the fee not covered by their insurance.
- Balance billing suggests to the patient that the dentist is overcharging and damages the patient/provider relationship.
- Patient care is potentially jeopardized by a third party dictating treatment options.
To avoid these issues, many dentists simply stop accepting dental insurance completely.

The Dentist Direct Solution

A cooperative of industry-leading dentists observed these trends and created a way to offer premium quality care at an affordable price. The result: a dental plan directed by dental providers themselves.

Dentist Direct was formed to provide access to quality dental care and preserve independent dentistry. All aspects of patient care and administration have been carefully reviewed based on patient feedback to create a dental plan specific to your needs.

We look forward to proving that a dentist-directed plan places you and your dentist back in control of your dental care.

 

Frequently Asked Questions

How do I receive care?
Make an appointment with a Dentist Direct provider and present your card at the time of service. After you receive care, you will be responsible to pay your provider according to the dental plan you are enrolled in.

What if my dentist is not on the panel?
Most Dentist Direct plans offer in and out-of-network benefits. However, you generally pay less when visiting a network provider. Please carefully consult your plan description before making an appointment.

Patients typically spend less when receiving care from a network provider. However, if you are pleased with your current dental provider and would like him/her to be considered for membership on the Dentist Direct panel, please complete the information under the "Refer a Provider" link.

Who do I call with a question about a claim?
Claim inquiries call toll-free (866) 696-6527 or fax (801) 299-8365.

Where do I send my claims?
If necessary, submit any claims to:

Dentist Direct
P.O. Box 5000
Springville, UT 84663-5000

Who do I call to find out if a procedure is covered under my plan?
For eligibility and benefit verification call (866) 696-6527.

How do I add employees or dependents to the plan?
Current employees and dependents may enroll in Dentist Direct during the open enrollment period. Dependents may also enroll within 30 days of a qualifying event such as: marriage; divorce or legal separation; birth of a child or adoption of a child; new employment; or death of insured.

How often can I receive routine exams and cleanings under my plan?
Routine exams and cleanings are eligible for coverage twice a year.