27
May

(In means of Health Insurance) What's another name for a fee-for-service or traditional policy?


Answer:
It is called an indemnity plan. And I wish they were still around like they used to be. Seems like all plans now force you to go to a dentist or physician of their choosing, not yours,

Answer:
Any dental plan that doesn't have the term DMO in it is a traditional, fee for service plan. While a DMO plan has doctors in it that have concurred to all the stipulations and fees in the plan, The plan can dictate to the dentist what services can be performed on a patient at a contracted fee that’s usually way below the average.
For example: you might need a cap on a tooth. The DMO plan states that they’ll only allow a fee for a filling. The contracted physician, even though he really knows that you need the cap can’t do the cap because he’ll not be paid for his services. So you get a filling that’s probably not the optimum treatment for you.
In a fee for service/PPO/traditional plan, the physician and patient decide what treatment is to be done. If the insurance company does not grant for that service, the payment comes from the patient… but the patient is getting the treatment that’s needed.
I hope that this answers your questions.

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