Wednesday, October 11, 2006

Dental Insurance-Part 1: A Good Idea?

Dental Insurance has been a good and a bad thing for Dentistry in my opinion. Over the past 15 years, the insurance industry has grown to cover many Americans with dental insurance. This is usually provided through their employers. It does provide some benefit in certain circumstances. Is it a good idea? The comparison should be made to the way it used to be before the large degree of coverage available today. Insurance has traditionally been useful to cover catastrophic unexpected expenses due to things like severe medical conditions, disability, death, fire, tornado damage, etc. Companies are paid a premium per month for the promise of a certain amount of financial coverage if these disasters occur. Good health insurance is a must, and fire coverage for your house is a requirement for your mortgage. It protects you against an unforseen event that could wipe you out financially. Insurance has generally not been used for everyday expenses such as gasoline, groceries, and other non catastrophic expenses. Dentistry is a disease process and is certainly a significant medical condition. It is , however, predictable, and with the exception of cancer and severe trauma (which would be covered under medical insurance anyways), non-catastrophic. In general, why is this a flawed system?

Why would you purchase dental insurance? "I don't, my employer does". Well, you are paying for it, but usually indirectly. Your employer pays the premiums and deducts the cost in the form of a lower salary that you would otherwise receive. The decisions are made by the employer in response to the perceived demand from employees. Coverage is often an "add on" to health insurance. Dental insurance can provide someone who has extensive dental treatment needs with the financial confidence to proceed with treatment when otherwise they could not "afford" it. They would rather have the insurance in lieu of salary. This has benefited many people over time. The insurance, however, becomes the middleman. Sometimes, when a patient has proposed treatment, the response isn't "when can I schedule that", it's "let me see if my insurance covers that". I guess I don't blame them, it's just way different than before.

If I told you I was selling gasoline insurance, would you buy it? I will ask for premium payment every month. In exchange, you send me your receipts from the gas station. I will then send you a check for these "claims" you have made. Would you buy that? I would advise you to say no to this deal. Why? With the money you are paying every month you could just pay for the gas anyways. Your gasoline purchases are predictable and non-catastrophic.
Is that a good deal? No, this is silly.
I know this is exagerated, but you see the point. By the way, be reminded if your employer "pays the premium", just remember that check went to the insurance company instead of your salary.

Dentistry, more specifically dental costs are more predictable and less expensive than medical emergencies. After looking at the real costs of dentistry and the actual premiums, deductables, etc. My determination is that, for most people, it is not worth it. If your company provides the insurance, well of course use it, but understand what it actually covers. It is only really worth it however, if you know you have lots of dentistry that is going to be required over a specific period of time, like massive crowns, bridges, surgeries, etc. It may be worth it until you were stabilized into routine care. So, unless you fall into that catagory, save your money and use that to pay the dentist instead of the insurance company. I'll have more posts on dental insurance and dentistry in the near future.

Dental Insurance-Part 2: How it Really Works

ADA Site: Dental Insurance FAQ

Another great link:

How Dental Insurance Works


Anonymous said...

Dr. Dean:

An excellent article, but your sentence "They would rather have the insurance in lue of salary" should read "in lieu of"!

Dr. Dean Brandon said...

Done--If I wus a greete speler, I wouldnut bee a denist, but some kind of book riter person.

Unknown said...

as stated above about the dental insurance its really good idea because before that we read about health insurance,home insurance etc.but dental it is the part of health.if employer providing then it is we no about many insurances really this one is totally new.
Medical Insurance

Unknown said...

My 28 month toddler needs to get 3 tooth extracted. I'm very nervous, and sad. I dom't know what to expect. Thr dentist told me that he would be fine. Buy i feel like he's going to be in pain and i don't want that. He will be under general anesthesia and i will not be allowed to be with him inside the room. I'm so sad. The dentist also said they will put crowns om him after extraction.

Dr. Dean Brandon said...

It is understandable any parent would be anxious for their child. Under general anesthesia, he would be completely asleep of course, and not conscious of any procedures or your presence or absence. This is usually a much better way to compete needed treatment on a young child. We do this kind of thing pretty much every week.