Being familiar with insurance terminology helps you better understand your dental benefits.
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.
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.
An individual enrolled in a dental benefits program. See Beneficiary.