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Definitions (28)
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balance billing
Dentist fees that the insured enrollee is billed for amounts above the enrollee’s portion of the coinsurance.
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Co-payment
The part of the fee you owe the dentist before or after your insurance carrier has paid its portion. Day & Night Family Dental will help you estimate your co-payment at the time of service.
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COINSURANCE
The enrollee’s share, expressed as a fixed percentage, of the insurance contract allowance. For example, a benefit that is paid at 80 percent by an insurance plan creates a 20 percent coinsurance obli [..]
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Coordination of benefits
A process that insurance carriers use to determine the order of payment and amount each insurance carrier will pay when a person receives dental services that are covered by more than one insurance be [..]
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covered services
Services for which payment is provided under the terms of a dental insurance benefit contract.
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DEDUCTIBLE
A dollar amount that each enrollee (or cumulatively a family for family coverage) must pay for certain covered services before your insurance company begins paying benefits. The friendly staff at Day [..]
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dual coverage
When dental treatment for an enrollee is covered by more than one dental insurance benefits plan. When a patient has dual coverage, the friendly staff at Day & Night Family Dental can help sort t [..]
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EFFECTIVE DATE
The date a dental benefits contract begins. Effective date may also be used to describe the date that benefits begin for a plan enrollee.
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eligibility
The circumstances or conditions that define who and when a person may qualify to enroll in a plan and/or a specific category of covered services. These circumstances or conditions may include length o [..]
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Enrollee
A person who receives insurance benefits under a dental benefit contract (also known as “member”, “insured”, “covered person”, “beneficiary”).
Meaning awaits approval from a moderator |
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