That humana dental insurance reviews sherry you go ahead humana dental insurance reviews and you share what your prints are well it goes back to the just what we were just discussing .
there’s going to be a time when some of these plans don’t work out for you anymore and you don’t know that until you.
Start tracking your adjustments because I have I we have a client who you know decide that they’re trying to evaluate
which plans they should be in and which plans they shouldn’t and so we look at this plan and we go well if we see three patients in hygiene .
With this plan it equals to one patient in hygiene with this plan so maybe what we need to do is get more with this plan and and say goodbye to that plan because .
We have to see three patients for the one patient so those are and you don’t know that unless you’re tracking your adjustments and and even though you use adjusted production and your practice management.
Software and you do it based on fee schedules there’s usually a report and your practice management system pair the billed fees which are .
That the contracted fees to the office fees per code so you don’t necessarily have to see all of that on one report you can usually it’s a little hard to find but I know dendrix has it I believe all of the other ones have it too so yeah so you you can on your daily basis
Go okay this is our contracted fees this is what we’re billing out and this is our net or adjusted production but then you can go back and compare periodically if it.
Stresses you out too much to look at it daily but periodically you need to keep an eye on it and you need to see if the margins are moving and it has goes back to do .
I need this insurance company or not is is it do I have enough patients to justify maybe going out of network with some knowing that it there could be some patients who go somewhere else if you do but if you if you have to see three patients for each one.
That’s a decision you need to make so you only know if you track gross production so from my point of view because again.
I’m a business coach business consultant right I saw they focus a lot on the numbers and one of the things that justice will do for you is it gives you an indication on fraudulent behavior from some staff and Miss sherry say
What is that your deductible is what you have to pay out-of-pocket for services covered by your plan before the insurance company pays your plan may include co-pays this is a fixed cost you pay for a certain service like for example an x-ray.
Coinsurance refers to the percentage you pay for covered expenses of Tina the your deductible so if your coinsurance for a filling is % and the cost for that service in network is you would pay for that the insurance company would pay for the rest of your college expenses up to your annual maximum.
How much does dental insurance cost well the answer is it depends the HMO plans tend to be less expensive and PPO plans are a bit more pricey before buying dental insurance first ask yourself what are your needs to the map often your annual premium is less .
Than the cost of two visits to your dentist for a year for regular check-ups you can call your dentist and ask for the price of a visit if you pay yourself without insurance it’s likely that dental insurance is cheaper than paying for two visits out of your pocket plus you get.
The added benefits of having dental coverage that will save you money in case of unexpected dental issues that could come up under this video I will have a sample comparison of various dental plans
Full coverage dental insurance with no waiting period is under ERISA is under federal law and your state law for keep recapping is worthless so these doctors that think that our state’s passed a law it’s going to protect me it protects that doctor with say percent of the patients with full coverage dental insurance.
but not the other now a self-funded plan is under ERISA how does that work let’s say it’s Bank of America let’s say that Bank of America hires MetLife well MetLife provides an actuary to design the plan for Bank of America to keep it within Bank of America’s budget.
MetLife provides a low-cost dr. network and then MetLife pushes the paperwork so MetLife handles all of the claims submissions well MetLife is paid a fee per claim a typical fee in the marketplace understand is about seven dollars per claim so MetLife is making seven bucks per claim that life is not at any financial risk.
Whatsoever it’s Bank of America and so the self-funded plan of is can be capped you and how do we know it’s self-funded well it could be a union they could be schoolteachers it could be a hospital it could be a major corporation it could be American Airlines if the patient has an identification card on the back of the card.
It says administered by guardian or it says administrative services only so if there is a patient card on the booklet and by the way when the patient brings full coverage dental insurance with no waiting period and their booklet that’s the technical name of that is summary plan description.
The summary plan description on the back page it may say administrative services only that life as an example now by the way this little booklet the patient brings is not the keys to the kingdom the plan.
They may have a Dental Help settlement offer made and it may cover all their expenses so they’re wondering you know do I need to hire an attorney what the considerations Dental Help they need to have is that insurance companies want to minimize the amount of money that they’re paying out so.
They’re not necessarily going to inform Darrel if there’s any other areas of compensation that would be available to him what isn’t mentioned in his question is whether the insurance company had provided any monetary value for
His pain and suffering they haven’t taken into consideration whether you know he missed work from the accident or what other avenues in his policy he may have such as medical payments what we called med pay or other avenues
That may be available to him that the insurance company is you know either not necessarily letting him know or informing him up so one of the things he can do is at least have a consultation and not the Kelly Law team I always
Sit down with clients I look at their policy it’s a free consultation and I give them advice about whether or not they could possibly do better a lot of times they can but sometimes I say look you got a good settlement here so you know it never is a bad thing to at least talk to an attorney to determine if there’s more money out there available okay well
That makes a lot of sense actually okay next question was from from Janet she said to her car hasn’t had a blowout and ended up running into a light pole she said no one was hurt but she’s asking if she can sue the tire manufacturer yeah so a lawsuit against.
Renaissance Dental That give my boss recourse to fire me because that it didn’t happen in the workplace well you’re actually you just ask a couple Renaissance Dental questions you kind of stole my Thunder so.
I was gonna go to a work comp claim that testing may end up having as well but let me answer those into part number one based on the fact that you know.
I’m not sure how the Clippers consider their people on the clock or off the clock because it appears that you know they’re away there you know they are going to be having .
A game so if he’s considered on the clock not only can he have a lawsuit against Blake Griffin but it could also be a worker’s comp claim he could file against the Clippers because.
He got injured if he’s considered on the job so that’s the first part of yet another claim that he may have for his injuries okay so that’s one um in terms of what could occur because of the fact that lets say they were not on the job and.
The Clippers began you know say that there fire him this is more about sort of the moral aspect of how they want their employees to be behaving and I think the Clippers depending on the type of contract .
That this equipment manager has signed if there are some moral clauses in there that says if you’re you know end up getting into .
A fight or something like that we can terminate you again we don’t have their contract then they may have a cause as well so a lot of these things that you were talking about is hype you know hypotheticals but we would
Three are more into the Dental Insurance cans the research oriented they are into computer dentistry then the oral pathology where we find the particular kind of disease and oral radiology and diagnosis again Dental Insurancethis is more of x-ray and coming to a diagnosis these are these .
All these subjects that Dental Insurance we have which would be either being a specialist into a root canal that is a conservative dentistry or an oral surgeon or an orthodontist or a basis now after we’ve done with BDS we’ve done the one year of internship now as you miss a student that wants to do a post graduation in.
India but if they’re an entrance examination again at that point yes there is an organ do intersect um and some again the D means that you can have their own intern exam so again the results of the common entrance test decides which subject you are you can select.
Why we say you have to again get very good rank because Dental Insurance the number of course that seats are very very few like a government college would have only three or four seats for a particular post-grad subject so unless you are in the top four and you want to be a surgeon.
When it’s going to be that much more competitive to hear you talking to talk talk maybe hundred yeah maybe hundred to get a popular choice across India yeah that probably does make that three four five dollars what are the options open luckily in the today’s world we have enough continuing education.
We have good short courses of diploma which are a year or two depending upon what subject you are choosing you can either pursue them in India with collaborations of you know cities like in u.s. or in ..
European countries or you can even go there and do your study diploma for study over there and come back and practice in India you are not entitled to practice over there but yes it does help you enhance your skill set and your knowledge base but you started with the student one dream should