typically, the least expensive of dental plans. All dental services are provided by professional dentists who agree to provide specific treatments and services to patients at no charge (some services may require a co-payment.) DHMO plans reward participating dentists who keep patients in good health, thereby keeping plan costs low. Dentists are paid directly by the insurance company for each individual, regardless of how much or how often covered services are used.
A legal entity that accepts responsibility and financial risk for providing specified services to members during a defined period of time at a fixed price. It is an organized system of care delivery that provides comprehensive care to enrollees through designated providers.
An HMO-type program for dental care. Participants select a primary care dentist. Little or no co-pay is required for many services. Dentists receive a monthly fee for participants.
An organization that provides dental services through a network of providers to its members in exchange for some form of prepayment.
An organization that provides dental services to its members through a network of providers in exchange for some form of prepayment.
a benefit program in which enrollees receive all or most treatment through the dental office where they are enrolled. The dentist receives a single monthly payment from the benefits carrier for each enrolled patient, no matter how many services that patient receives (also see DeltaCare/USA Network, DeltaCare/USA Provider).
Also known as a capitation program. A closed-panel option in which patients identify a dental office for ongoing care at the time of enrollment. Dentists operating under a DHMO are paid a pre-determined amount each month for each enrollee who selects that office. [Delta Dental's DHMO programs are called DELTACARE