Last week a new (to our office) patient asked for my thoughts about dental insurance and whether or not he would benefit from purchasing some type of third party coverage. We had just discovered his need for multiple dental restorations (fillings, crowns, etc) and, anticipating the costs of his needed work, he wondered if he would be better off trying to obtain some dental insurance coverage prior to initiating treatment. This was a very reasonable question and not the first time I’ve been asked. Most types of insurance, be it auto, homeowners or even medical, are ultimately designed to protect the policy holder from a catastrophic event. If you were to total your car, have your home flooded, or receive a cancer diagnosis, these types of insurance coverage exist for your protection. In my opinion, “insurance,” is somewhat of a misnomer with regards to dental.
Dental insurance really functions more like a maintenance plan. The majority of dental insurance plans have had the same annual patient benefit of 1,500 dollars or less since before I started practicing seventeen years ago. Similarly, many dental insurance companies have not increased their reimbursement rates (what they will pay for each procedure) in several years. The problem here is that dentistry is expensive! For someone with multiple needs, the cost of obtaining optimal dental health can be several thousand dollars. Our office always tries to help patients maximize their dental benefits. But for someone with 5,000 dollars worth of immediate needs, doing so would mean spacing the needed treatment out over 3+ years.
Not only is this inefficient, but can be risky for the patient as it’s often hard to predict how quickly untreated problems can progress to bigger, even more costly needs. It’s worth mentioning that while dental insurance benefits have been stagnant for years, the premiums for coverage certainly have not. This is something many patients are unaware of, especially if their coverage is part of an employer’s benefits.
In light of these recognized challenges with dental insurance, our office has launched an in-house dental membership plan. Similar to dental insurance, our membership plan has a monthly or annual fee. The cost of membership includes 2 cleanings per year with exams, x-rays, and up to one emergency visit. There is an initial savings for the included services and the patient receives a flat 15% discount on any needed restorative treatment. We are seeing for many people, our membership plan is a better fit than traditional 3rd party dental insurance coverage.
I often tell new patients that my ultimate goal is to first help them obtain dental health(this can look different for each person, depending on their situation) and then follow that by helping/equipping them to maintain that health. So often, the bulk of expense goes into obtaining dental health, while we work with the patient in order to help them minimize their risks moving forward. For my concerned patient from last week, our membership plan was a good fit! Give us a call if you have questions or would like to learn more.
Wishing you a healthy and happy new year! And don’t forget to floss!
Dr. Clint Fulks DDS
All Rights Reserved | Fulks Family Dentistry | Online Privacy Policy | Terms and Conditions | Powered by PCSI