If dental insurance terms confuse you, you’re in good company. A 2016 survey found that only 4% of people could correctly define all 4 of these terms: deductible, coinsurance, copay and out-of-pocket maximum.
At Delta Dental of Arizona, we are committed to helping you understand your dental benefits and your oral healthcare experience. That’s why we’re breaking down 4 commonly confused dental insurance terms into plain language.
- Premium. Typically a monthly charge, a premium is the amount paid to the dental insurance company for coverage. If you receive your dental coverage as part of your employee benefits package, your employer may pay some or the entire premium.
- Deductible. A deductible is the amount you pay for covered dental services before the dental plan begins to pay. Deductibles usually apply to basic or major treatment, not cleanings and exams.
- Coinsurance. Coinsurance is the percentage of dental care expenses you pay after your deductible. Your dental plan pays the rest up to any benefit or lifetime maximum.
- Copay. A copay (sometimes called a copayment) is the dollar amount you pay for dental care expenses at the time of service.
