Being familiar with insurance terminology helps you better understand your dental benefits.
Managed Care
Refers to a cost containment system that manages the utilization of health benefits.
Managed Dental Care
In an effort to provide high-quality dental care while controlling costs, the insurance industry has created a system of managed care. DHMO and PPOs are examples of managed dental care whereby dentists join networks and discount their services in order to attract patients.
Maximum Benefit
The maximum dollar amount a program will pay toward the cost of dental care incurred by an individual or family in a specified period, usually a calendar year.
Maximum Plan Benefit
The reimbursement level determined by the administrator of a dental benefit plan for a specific dental procedure. This may vary widely by geographic region or by benefit plans within a region.
Member
An individual enrolled in a dental benefits program. See Beneficiary.
