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z-DENTAL BOOK THE HMO PRACTICE

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Health Management Organizations (HMO) are becoming very popular with large dental corporations. The employers faced with the rising cost of PPO dental insurance for their employees see the HMO concept as a solution. Instead of paying seventy to eighty plus dollars per employee and have limited coverage with a PPO, they can give their employees an HMO that will give them complete coverage for twelve dollars per employee. Most of the twelve dollars goes to the insurance company and they give the providing dentists a mere two to six dollars if he is lucky.

So, the question is; how do the large dental corporations make it work when they are only receiving two to six dollars per patient? How can you possibility survive on six dollars per patient when your prophylaxis normal charge is sixty dollars plus? Yet the Large Dental Corporations are eager to take them.

You can understand it if the HMO gave you a large number of patients say a thousand or so, and these patients had been in the system a length of time to ensure all of the dental work has been done. Then you sit back and enjoy the fruits, but this is not what is happening.

They are willing to take one or two HMO patients. Look closer, maybe there is something you are missing. The HMO contract gives the list of the treatment covered, amalgam, composites, crowns, etc. Where is the golden egg that makes the Large Dental Corporations want them? Worse, the world of dental insurance is filling up with HMOs leaving the PPOs behind. We either learn how to deal with them or find ourselves fighting for the remaining PPO crumbs that are slowly disappearing and being replaced with HMO insurances.

 

Printed copies available upon request - Service@aocedental.com

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Health Management Organizations (HMO) are becoming very popular with large dental corporations. The employers faced with the rising cost of PPO dental insurance for their employees see the HMO concept as a solution. Instead of paying seventy to eighty plus dollars per employee and have limited coverage with a PPO, they can give their employees an HMO that will give them complete coverage for twelve dollars per employee. Most of the twelve dollars goes to the insurance company and they give the providing dentists a mere two to six dollars if he is lucky.

So, the question is; how do the large dental corporations make it work when they are only receiving two to six dollars per patient? How can you possibility survive on six dollars per patient when your prophylaxis normal charge is sixty dollars plus? Yet the Large Dental Corporations are eager to take them.

You can understand it if the HMO gave you a large number of patients say a thousand or so, and these patients had been in the system a length of time to ensure all of the dental work has been done. Then you sit back and enjoy the fruits, but this is not what is happening.

They are willing to take one or two HMO patients. Look closer, maybe there is something you are missing. The HMO contract gives the list of the treatment covered, amalgam, composites, crowns, etc. Where is the golden egg that makes the Large Dental Corporations want them? Worse, the world of dental insurance is filling up with HMOs leaving the PPOs behind. We either learn how to deal with them or find ourselves fighting for the remaining PPO crumbs that are slowly disappearing and being replaced with HMO insurances.

 

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