What's the Catch? (Dental insurance buffs) Why go with a PPO over a HMO?


Question:
So I've been researching dental insurance in my area. (S. Florida Metro - Ft. Lauderdale/Miami/Palm Beach)

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.


More Questions and Answers

The consumer health information on youqa.com is for informational purposes only and is not a substitute for medical advice or treatment for any medical conditions.
The answer content post by the user, if contains the copyright content please contact us, we will immediately remove it.
Copyright © 2007 YouQA.com -   Terms of Use -   Contact us

Health Resources