Indemnity / PPO Plans vs. Prepaid Dental Plans |
|
Indemnity / PPO plans |
Prepaid plans |
| Key Feature |
- Allow freedom of provider choice
- Higher out-of-pocket expenses
|
- Lower out-of-pocket expenses
- Specified dental provider groups
|
| What carriers are offered? |
|
|
| May I use the services of any licensed dentist? |
Yes
(A listing of Preferred Providers can be obtained from member services or on the provider's website, and benefits will be higher when one of these dentists is used.) |
No
(Participants must pre-select a dentist from in-network providers.) |
| May I access services if I live outside of Arizona? |
Yes |
No |
| Will claim forms be required? |
Yes |
No |
| Will I be required to pay annual out-of-pocket deductibles? |
Yes
(Does not apply to allowable routine preventative care) |
No |
| How will I be charged for services? |
Participant is responsible for percentage of fees not covered by carrier |
Participant is responsible for pre-established co-payments |
| How many preventative cleaning exams are covered? |
Two per plan year |
One per 6-month period |
| Are there annual limits for the benefits I may receive? |
Yes |
No |