What's the Catch? (Dental insurance buffs) Why go with a PPO over a HMO?
Question:
I've received a quote from a dental HMO that provides the following;
Individual Premium per month - 11.95$
No Wating Period
No Plan Maximum
No Deductable.
As examples of coverage;
Cleanings are no charge.
Fillings for one surface are 25$ for composite fillings. Standard silver fillings are no charge.
Crowns run between 245$-300$
Endodontics/Root Canals run between 110$ and 345$
Periodontic services run between 110$ and 300$ for surgical services.
Non surgiacal periodontic services run between 38$ and 65$
Dentures and bridges are fairly priced between 300$ and 425$
Extractions run between 30$ and 100$
The only place they really get you is with orthodontics.
Now let's look at a PPO.
Individual Coverage is between 30$ and 42$ a month for basically the same services between plans, with large waiting periods, tiny plan maximums, and really not that great of coverage.
(Cont.)
Answers:
Great question. I recently was stuck trying to decide between the two. I chose the PPO just cause that's what everyone else has in the office. But the more I kept comparing the two, I couldn't understand why you pay more with a PPO if the HMO gave you more coverage. I guess I feel better about the PPO cause I get a wider range of doctors and I can go outside the network if I wanted to. That seems to be the only advantage.
A PPO is better than an HMO because a YMO is longer than a LMO, so go with the DMO.
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