Fresno Dental Insurance
California health exchange representative
Vision Insurance

(559) 222-4140

Dental & Vision Insurance

Choosing the right dental and vision insurance is crucially important for you and your family. 

1. It’s Expensive to Take Care of Yourself Without Insurance

You could waste a lot of money if your plan doesn't match your needs. It shouldn't come to surprise how costly it can add up to, but can you imagine the alternative? Poor dental and vision health correlates directly with heart disease, cancer, and stroke. Regular dental checkups are also used to aid early detection of hypertension, high cholesterol, gestational and childhood diabetes, and brain tumors. As you neglect a routine dental and vision exams, larger health problems may occur later. These problems can cost you more money down the road with pricey medical specialists and thousands spent on an ER visit rather than a few hundred a year with your dentist or optometrist. Even though opening access to quality, low-cost dental and vision care can keep the public healthier and drive overall medical expenses down, there's always the chance of paying too much and not being covered enough.

2. Become Fluent in Your Plan

It's important to understand the advantages to each group plan, regardless which you choose. You base this off what each plan covers and what you expect your needs are through the monthly payments, the annual maximum (the amount paid by your insurance company), and the co-payments. It's the difference between getting real work done occasionally or having a few minor exams a year. If you've been seeing a specific doctor and he or she is in the insurance company's network, you might be eligible for a less expensive plan. No dentist? No problem. Networks provide them in their plans. However, if your doctor is not on the network, you can still get insurance, but you might find yourself paying so much that being insured wouldn't be worth it. 

3. Choose Your Own Doctor with an Indemnity Plan

Indemnity plans are traditional insurance plans typically offered by employers. These allow you to see whichever doctor you please, get the treatment, and copay a portion of the treatment costs. This means you'll be required to pay some costs up front, but the insurance company will rebate an explicit amount they owe you. However, this falls under the issue mentioned before, are you paying more than you should? Chances are high that's the case. It's hard to tell unless you keep close tabs of your payments.

4. PPO Plans Are Slightly Improved Indemnity Plans

The Preferred Provider Organization plans are cheaper versions of the indemnity plan. Much of the plan mimics the advantages of the indemnity plan but at a smaller price. With a PPO, you're still allowed to choose your doctor but are insured under a percentage, not a set co-payment. 
This plan keeps the annual maximum, providing you with a set amount per year available to cover you and still share a percentage of the costs of your doctor visits every time. In many cases, there is a deductible, requiring an upfront payment before some treatments are provided. 

5. HMO/DMO/DHMO Plans Are Economical

Health Maintenance Organization plans are typically the cheapest dental and vision insurance options.It's origins come from an honest effort to cheap healthcare costs low while maximizing coverage. 

6. Avoid the Annual Maximum Limit. 

HMOs are the best option for patients looking for basic services, and here's how it works. The HMO companies search for doctors and provide them with clients. This means you are allowed to choose and assign yourself to a doctor that they provide you and you are forced to follow their rules. Essentially, to avoid the annual maximum limit, it mimics a subscription service that outlines which services will be included, partially covered, and completely out of pocket. Exams, X-Rays, and checkups will be completely covered, but if you crack a tooth or need new glasses, you'll be given a reduced out of pocket rate. 

7. HMOs Are More Convenient for Newcomers 

Patients are taken care of through a monthly payment and are given the cheaper, necessary services for no extra cost. Although all other extra services will be at a reduced out of pocket cost, the patient will have prior knowledge and anticipate the fee. It's a system up front and easy to scan for anyone new to the medical procedures. However, to ease convenience, additional work such as getting your wisdom teeth removed would require your primary doctor to refer you to a specialist contracted with the same agency. This saves you the steps of finding a specialist yourself and in the possession of your trusted insurance provider. 

Easy Enough, Right? 

It's better to find the right insurance now before you participate in a money siphoning plan. Although you're not required by law to have dental and vision insurance as an adult, it's still important to maintain it for a long lasting, quality of life.