Approximately 175 million people, 57% of the U.S.
population, have some form of dental coverage at this time. Direct reimbursement plans cover less than 1%
of the market. Coverage under Dental
HMOs had declined to 8% of the market by 2010, down another percent or two by
2012. Indemnity insurance plans,
typically provided by employers, have declined from about 38% of dental benefit
coverage in 2001 to about 9% to 10% now.
These declines have been absorbed by PPOs which have grown from 39% in
2001 to 75% to 80% of market share currently.
Dr. Charles Blair, author of Coding with Confidence: The “Go-To” Dental Insurance Guide, and founder of PracticeBooster.com, a dental insurance
coding website, has an excellent article in the June 2012 McGill Advisory, a top notch dental practice newsletter.
Dr. Blair addresses changes in third party coverage and the
effect these changes, particularly the exploding growth in PPOs, will have on
your practice and income. Check out the McGill Advisory website: www.mcgilladvisory.com.
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