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Is there an HMO dental plan?

There are HMO type dental plans and they have a variety of benefit levels and copays for various services. Also, your choice of dentists may be limited and you may therefore not be able to see your regular dentist under the plan.

It is important to be aware that although preventive and diagnostic service may only involve a nominal copay per visit, other services such as crowns, dentures and even posterior composite filling may have a significant copay.

Dr. Michael Roizen, MD
Internal Medicine

Yup. It’s either called a DHMO or a capitation plan. These plans involve a contract between the plan and a specific dentist. The plan pays the dentist a certain amount per family/person enrolled per month to provide certain services for free or for a small co-payment price. However, there is a premium involved and this number may not match up at all with the dollar amount that the plan is covering for dental services.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.