Dental plan enrollment tends to go up and down with economic conditions. Today, most employers that offer dental benefits offer standalone plans.
The National Association of Dental Plans, found 98% of dental benefits are provided under a separate policy, and PPO plans represent 74% of all group dental plans in a 2011 survey.
PPO plans are supposed to help control expenses by providing higher reimbursements for care given by the network providers, but costs are increasing faster than the general rate of inflation.
To control the costs of an insured dental plan, employers have a couple of options:
Switch to a lower-cost plan. This will open the following options: decreasing the annual maximum, limiting benefits, decreasing annual maximum benefits and more.
Or maintain your level of coverage but have employees shoulder a larger portion of costs. This will increase employees’ share of premiums, increase copayment percentages and switch to an entirely employee-paid plan.
A direct reimbursement plans gives employers greater control over their dental benefit program than an insured plan. With a direct reimbursement plan, the employer determines how much it will spend per employee per year.
Employees also have greater control over their dental treatment choices because direct reimbursement lets them see any dentist and use their funds for any eligible treatment.
Employers also have greater control over cash flow. Instead of paying premiums to an insurer, the employer can invest plan funds and withdraw them as needed for reimbursements.
For more information on selecting the best dental plan for your organization, contact a benefits administrator at Group Services.