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At least 19 recordsLinked to original sources
PubMed1987

Management of dental insurance in the dental office.

This article should assist the practitioner with the efficient flow of patients and paperwork in today's dental world. By providing a system to control and monitor the flow of insurance papers and by accepting the patient's third-party coverage partially or in full--rather than resisting it--the dentist will enjoy an increase in his or her patient population.

Fees, Dental↗
PubMedDate not supplied

Dental insurance coverage and the use of dental services by children.

The increasing availability of dental insurance for children, and the relationship between insurance and dental visits are detailed. In the changing environment for the delivery of dental services, successful dental practice and general medical practice increasingly require that health providers recognize the variations in the new populations served.

Adolescent↗
PubMed1989

Dental insurance and its effects among the elderly in Ontario.

This paper examines the association between dental insurance, dental utilization and oral health outcomes among elderly people living independently in two communities in Ontario. Dental insurance had no independent effect on use of dental services, dissatisfaction with oral health status or clinically defined treatment needs. However, dentate attenders were less likely to be dissatisfied with their oral health and less likely to need dental treatment than those defined as non-attenders. One unexpected finding was that the dentate elderly had higher levels of utilization than is often reported in the literature but still had high levels of treatment need.

Aged↗
PubMed1982

Dental insurance plans--boon or bane to the dental practitioner?

The dentist who participates in reimbursement pursuant to a dental insurance plan establishes a legal relationship to the insurance carrier, which is governed by third-party beneficiary concepts in law. The terms of the dental plan provide specific links to the provider of dental services, which include the right to review the quality of dental services rendered, the right to determine what are reasonable charges for the services rendered, and the right, through subrogation and indemnification, to recover what the insurance carrier determines to be improper payments to the insured and the dentist. The enforcement of those rights against the dentist can affect the manner in which he practices his profession. The failure of the dental practitioner to properly protect his interests when challenged by the insurance carrier under the plan can have adverse and far-reaching consequences upon his practice and upon his very license. It therefore behooves the dental practitioner to be fully knowledgeable of the potential pitfalls to his participation in dental insurance plan reimbursement programs. Unfortunately, the touting of the benefits accruing to the dental practitioner by participation in such plans tends to mask their dangers. It is hoped that this article will have shown that it is incumbent upon the dentist to ensure that his professional record with the insurance carrier and any dental review board accurately reflects proper professional judgement by him in participating in a dental insurance plan.

Adolescent↗
PubMed1976

Dental insurance and equity of access to dental services.

The first-year consequences of national dental insurance, introduced in Sweden in 1974, are examined here from the point of view of social justice. The concept of equity of access in medical care is discussed. In a local survey, a comparison is made between use of dental services in 1972, 1973, and 1974. The results indicate that the fewer people visited the dentist after the implementation of the insurance than before. Other evidence supports this conclusion. People traditionally considered to be underprivileged as to dental care were compared with other people. One underprivileged group, edentulous persons, received more treatment after the insurance was instituted than before.

Adolescent↗
PubMed1996

[Use of dental services and the percentage of persons possessing private dental insurance in Québec].

The utilization of dental health services and the percentage of adult members of a private health dental insurance plan are generally lower in Quebec than in the other Canadian provinces. In this study, results of a telephone survey of a representative sample of Quebec adults aged 18 and over (N = 8,042) show that 58 per cent of interviewed individuals visited a dentist (53 per cent) or a denturologist (five per cent) during the 12 months preceeding the interview. A multivariate analysis indicates that the most strongly associated factors related to the utilization of dental health services are, in decreasing order, edentulousness, income and level of education. About one third (36 per cent) of those surveyed had dental insurance coverage. Age and income are the most strongly associated factors concerning the membership to a dental health insurance plan. Finally, among those with dental insurance coverage, 71 per cent had visited a dentist or a denturologist during the last 12 months compared to 51 per cent of those not insured.

Adolescent↗
PubMed1984

Dental insurance, a successful model facing new challenges.

Dental insurance has been the fastest growing fringe benefit during the 70s. Further, it has evolved into a cost-effective means for getting more people to seek dental treatment. Early worries of the purchaser and the profession about the uninsurability of dental care have largely been solved; to this day, though, no one has developed a model to successfully deliver individual coverage. In the 80s, dental insurance is facing some significant new challenges, mainly because purchasers of care perceive the need to trim all health care costs due to the rapid escalation of medical and hospital costs. Two avenues being pursued are "alternative delivery" and a "health tax" on fringe benefits. These two cost-containment efforts significantly threaten both the form and growth of dental insurance. It is important that the profession recognize the significance of these challenges and, recognizing the causes, become involved in finding solutions that do not diminish the quality of dental care.

Cost Control↗