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TABLE OF CONTENTS
S.NO.                    TOPIC                   SLIDE
                                                NUMBER
1       INTRODUCTION                            4
2       TYPES OF DENTAL INSURANCE               5
3       DENTAL PROCEDURES WHICH ARE NOT         6
        COVERED BY DENTAL INSURANCE
4       DENTAL INSURANCE COVERAGE TYPES         7
5       DID YOU KNOW?                           8
6       INTRODUCTION TO DENTAL INSURANCE IN     11
        INDIA
7       INDIAN DENTAL INSURANCE – THE CURRENT   12
        SCENARIO
S.NO. TOPIC                              SLIDE NUMBER
8     TYPES OF INDIAN DENTAL INSURANCE   13
      PLANS
9     DENTASHAKTI INSURANCE POLICY       15
10    DENTASHAKTI’S MONTHLY SCHEME       19
11    DENTASHAKTI’S FAMILY SCHEMES       20
INTRODUCTION
• Dental Insurance is an insurance coverage for individuals to
  protect them against dental costs. It insures against the
  expensive dental treatments, dental diseases and accident to
  teeth.
• Yours and your family’s dental health is important, so it's
  worth considering a dental insurance plan to help you pay for
  the cost of treatment.
• Dental insurance plans contribute towards, or pay for, the cost
  of check-up's and treatment, giving you peace of mind and
  saving you money.
• Dental cover is a cost-effective solution which will allow you
  to choose the dentist you are treated by and give you the
  choice of opting for NHS or private treatment.
TYPES OF DENTAL INSURANCE
  There are several different types of individual, family or group
  dental insurance plans. They are broadly grouped into three
  primary categories
• Indemnity (or sometimes called: true dental insurance ) : which
  allows you to see any dentist you want who accepts insurance
• Preferred Provider Organizations dental plans (PPO) : When a
  dentist signs a contract with a dental insurance company, that
  provider agrees to match the insurance fee schedule and give
  their customers a reduced cost for services. This is considered an
  In-Network Provider or Preferred Provider Organizations (PPO)
• Dental Health Managed Organizations (DHMO) : in which you
  are assigned to an in-network dentist or in-network dental office
  and must stay within that network to receive your dental
  benefits
DENTAL PROCEDURES WHICH ARE NOT
       COVERED BY INSURANCE
• Porcelain Veneers
  A veneer is a thin wafer shell that is bonded to the front of a
  tooth. Due to the cosmetic nature of this procedure, veneers are
  not covered by insurances when they are initially put on. They
  may, however, be covered by a dental discount plan.
• Teeth Whitening
  Whitening allows for stains or discoloration to be
  removed, making each tooth whiter. This is always considered
  cosmetic and not covered by insurances.
• Bonding
  A dentist can correct a space between your teeth by bonding a
  composite to the teeth to close the gap. Your first bonding is
  rarely covered by insurances.
DENTAL INSURANCE COVERAGE TYPES
• Preventative Most insurance companies consider routine cleanings
  and examinations as preventative dental care, however, X-
  rays, sealants and fluoride can be deemed as preventative or basic,
  depending upon the specific insurance carrier.

• Basic or Restorative Basic or restorative dental treatment usually
  consists of fillings and simple extractions. Root canals can be
  considered basic or major. However, the majority of dental plans list
  root canals as basic.

• Major Crowns, bridges, dentures, partials, surgical extractions
  and dental implants are dental procedures that most dental insurance
  companies consider as a major procedure.
DID YOU KNOW ?

1. Dental insurance is a legal agreement between the insurance
   company and the customer whereby the company agrees to pay a
   part of the dental bills that are incurred by the customer. Should
   any issues arise, it is the company’s responsibility to resolve them.

2. Dental insurance and general medical insurance are somewhat
   different. For many cases in countries like USA, UK, Australia &
   Canada dental insurance benefits have not increased to a great
   extent over the years, although the premiums may have increased.
   Such is not the case with general medical insurance.
3. Dental Insurance companies will claim to pay for as much as 80% of
   the total bill. However, in reality you should expect them to only pay
   anywhere from 35 to 70% of the dental expenses that you incur. The
   reminder has to be paid by you. But, there are some dental insurance
   companies that contribute to 100% of your total bill. So, it is advisory
   to double-check before you take your decision regarding dental
   insurance plans.


4. Most dental insurance companies will not provide coverage for dental
   procedures that are cosmetic. This includes things like dental
   implants which are usually not covered by most dental insurance
   companies. Make sure you check the treatments that are covered in
   your insurance cover.
INTRODUCTION TO INDIAN DENTAL
              INSURANCE

• If you opt for an Indian dental insurance plan, the costs
  incurred due to dental care would be paid for by the insurer.
• The Indian dental insurance sector is in its nascent stages and
  currently only a handful of dental insurance plans are
  available on a stand alone basis.
• A dental plan offers cover against sudden financial hardship
  due to dental emergencies.
INDIAN DENTAL INSURANCE- THE CURRENT
              SCENARIO
 Unlike most western countries, specific dental insurance plans
 are not common in India (with a few exceptions like
 Dentashakti dental insurance) which is discussed in the latter
 part of the presentation.
 In India, oral health is normally integrated with the general
 health insurance schemes. However some popular tooth care
 companies have forged tie ups with general or health
 insurance companies to produce dental insurance products.
TYPES OF INDIAN DENTAL INSURANCE PLANS
   Indian dental insurance plans are mainly of two types:

   Stand alone dental insurance plan:
 • This type of plan covers the expenses related to general
   dental problems, such as periodontitis and extraction of
   permanent teeth due to ailments such as caries.
 • In this plan, the amount of expense to be reimbursed as well
   as the period of such cover is fixed.
 • This type of plan is generally provided by the popular dental
   care product companies in association with one of the
   insurance companies.
Dental insurance cover as part of general
  health insurance plan:
• This type of dental insurance is provided by the general insurance
  companies as part of their own general health insurance
  schemes, such as health advantage policy or student medical
  policy.
• Through this scheme, one can claim dental expenses along with
  the other kinds of reimbursements, such as the cost of medicines
  or hospitalization.
• This plan also offers tax benefits up to a certain fixed amount
  under the income tax act.
DENTASHAKTI DENTAL INSURANCE
           POLICY
• Janashakthi Insurance PLC has entered in to an agreement with
  India’s multi-specialty dental clinic and orthodontic centre,
  Dentavista Healthcare Private Limited to launch a unique, one of its
  kind dental insurance scheme.
• The scheme Dentashakthi, allows customers routine treatments
  such as scaling and root canals plus specific orthodontic and
  implantology treatment of dental implants, gum surgery, crown and
  bridge and even removable appliances for children based on the
  dental cover and premium structure.
• The costs of various treatments at Dentavista clinics are extremely
  competitive compared to the cost in Europe, USA, Australia and
  Canada, helping you save enough for a holiday as well as your
  treatments.
First of its kind dental insurance scheme
with packages to suit your convenience
The difference between what you pay as insurance premium with
DENTASHAKTHI and what you would have paid in your own
country either as insurance premium or for treatment of your
dental ailments is very substantial.
Dentashakti’s monthly scheme
Family dental schemes
TECHNOLOGY/SERVICES
ENDODONTICS &
            CONSERVATIVE        PERIODONTICS
             DENTISTRY

                                          DENTAL
ORAL SURGERY      LASER DENTISTRY        IMPLANTS

                          CROWNS &
        ZOOM                             ORTHODONTICS
                           BRIDGES
      BLEACHING                           & DENTURES

                        FULL MOUTH
                       REHABILITATION
Everything You Need to Know About Dental Insurance in India
Everything You Need to Know About Dental Insurance in India

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Everything You Need to Know About Dental Insurance in India

  • 1.
  • 2. TABLE OF CONTENTS S.NO. TOPIC SLIDE NUMBER 1 INTRODUCTION 4 2 TYPES OF DENTAL INSURANCE 5 3 DENTAL PROCEDURES WHICH ARE NOT 6 COVERED BY DENTAL INSURANCE 4 DENTAL INSURANCE COVERAGE TYPES 7 5 DID YOU KNOW? 8 6 INTRODUCTION TO DENTAL INSURANCE IN 11 INDIA 7 INDIAN DENTAL INSURANCE – THE CURRENT 12 SCENARIO
  • 3. S.NO. TOPIC SLIDE NUMBER 8 TYPES OF INDIAN DENTAL INSURANCE 13 PLANS 9 DENTASHAKTI INSURANCE POLICY 15 10 DENTASHAKTI’S MONTHLY SCHEME 19 11 DENTASHAKTI’S FAMILY SCHEMES 20
  • 4. INTRODUCTION • Dental Insurance is an insurance coverage for individuals to protect them against dental costs. It insures against the expensive dental treatments, dental diseases and accident to teeth. • Yours and your family’s dental health is important, so it's worth considering a dental insurance plan to help you pay for the cost of treatment. • Dental insurance plans contribute towards, or pay for, the cost of check-up's and treatment, giving you peace of mind and saving you money. • Dental cover is a cost-effective solution which will allow you to choose the dentist you are treated by and give you the choice of opting for NHS or private treatment.
  • 5. TYPES OF DENTAL INSURANCE There are several different types of individual, family or group dental insurance plans. They are broadly grouped into three primary categories • Indemnity (or sometimes called: true dental insurance ) : which allows you to see any dentist you want who accepts insurance • Preferred Provider Organizations dental plans (PPO) : When a dentist signs a contract with a dental insurance company, that provider agrees to match the insurance fee schedule and give their customers a reduced cost for services. This is considered an In-Network Provider or Preferred Provider Organizations (PPO) • Dental Health Managed Organizations (DHMO) : in which you are assigned to an in-network dentist or in-network dental office and must stay within that network to receive your dental benefits
  • 6. DENTAL PROCEDURES WHICH ARE NOT COVERED BY INSURANCE • Porcelain Veneers A veneer is a thin wafer shell that is bonded to the front of a tooth. Due to the cosmetic nature of this procedure, veneers are not covered by insurances when they are initially put on. They may, however, be covered by a dental discount plan. • Teeth Whitening Whitening allows for stains or discoloration to be removed, making each tooth whiter. This is always considered cosmetic and not covered by insurances. • Bonding A dentist can correct a space between your teeth by bonding a composite to the teeth to close the gap. Your first bonding is rarely covered by insurances.
  • 7. DENTAL INSURANCE COVERAGE TYPES • Preventative Most insurance companies consider routine cleanings and examinations as preventative dental care, however, X- rays, sealants and fluoride can be deemed as preventative or basic, depending upon the specific insurance carrier. • Basic or Restorative Basic or restorative dental treatment usually consists of fillings and simple extractions. Root canals can be considered basic or major. However, the majority of dental plans list root canals as basic. • Major Crowns, bridges, dentures, partials, surgical extractions and dental implants are dental procedures that most dental insurance companies consider as a major procedure.
  • 8. DID YOU KNOW ? 1. Dental insurance is a legal agreement between the insurance company and the customer whereby the company agrees to pay a part of the dental bills that are incurred by the customer. Should any issues arise, it is the company’s responsibility to resolve them. 2. Dental insurance and general medical insurance are somewhat different. For many cases in countries like USA, UK, Australia & Canada dental insurance benefits have not increased to a great extent over the years, although the premiums may have increased. Such is not the case with general medical insurance.
  • 9. 3. Dental Insurance companies will claim to pay for as much as 80% of the total bill. However, in reality you should expect them to only pay anywhere from 35 to 70% of the dental expenses that you incur. The reminder has to be paid by you. But, there are some dental insurance companies that contribute to 100% of your total bill. So, it is advisory to double-check before you take your decision regarding dental insurance plans. 4. Most dental insurance companies will not provide coverage for dental procedures that are cosmetic. This includes things like dental implants which are usually not covered by most dental insurance companies. Make sure you check the treatments that are covered in your insurance cover.
  • 10.
  • 11. INTRODUCTION TO INDIAN DENTAL INSURANCE • If you opt for an Indian dental insurance plan, the costs incurred due to dental care would be paid for by the insurer. • The Indian dental insurance sector is in its nascent stages and currently only a handful of dental insurance plans are available on a stand alone basis. • A dental plan offers cover against sudden financial hardship due to dental emergencies.
  • 12. INDIAN DENTAL INSURANCE- THE CURRENT SCENARIO Unlike most western countries, specific dental insurance plans are not common in India (with a few exceptions like Dentashakti dental insurance) which is discussed in the latter part of the presentation. In India, oral health is normally integrated with the general health insurance schemes. However some popular tooth care companies have forged tie ups with general or health insurance companies to produce dental insurance products.
  • 13. TYPES OF INDIAN DENTAL INSURANCE PLANS Indian dental insurance plans are mainly of two types: Stand alone dental insurance plan: • This type of plan covers the expenses related to general dental problems, such as periodontitis and extraction of permanent teeth due to ailments such as caries. • In this plan, the amount of expense to be reimbursed as well as the period of such cover is fixed. • This type of plan is generally provided by the popular dental care product companies in association with one of the insurance companies.
  • 14. Dental insurance cover as part of general health insurance plan: • This type of dental insurance is provided by the general insurance companies as part of their own general health insurance schemes, such as health advantage policy or student medical policy. • Through this scheme, one can claim dental expenses along with the other kinds of reimbursements, such as the cost of medicines or hospitalization. • This plan also offers tax benefits up to a certain fixed amount under the income tax act.
  • 16. • Janashakthi Insurance PLC has entered in to an agreement with India’s multi-specialty dental clinic and orthodontic centre, Dentavista Healthcare Private Limited to launch a unique, one of its kind dental insurance scheme. • The scheme Dentashakthi, allows customers routine treatments such as scaling and root canals plus specific orthodontic and implantology treatment of dental implants, gum surgery, crown and bridge and even removable appliances for children based on the dental cover and premium structure. • The costs of various treatments at Dentavista clinics are extremely competitive compared to the cost in Europe, USA, Australia and Canada, helping you save enough for a holiday as well as your treatments.
  • 17. First of its kind dental insurance scheme with packages to suit your convenience The difference between what you pay as insurance premium with DENTASHAKTHI and what you would have paid in your own country either as insurance premium or for treatment of your dental ailments is very substantial.
  • 18.
  • 22. ENDODONTICS & CONSERVATIVE PERIODONTICS DENTISTRY DENTAL ORAL SURGERY LASER DENTISTRY IMPLANTS CROWNS & ZOOM ORTHODONTICS BRIDGES BLEACHING & DENTURES FULL MOUTH REHABILITATION