Chapter 12. Dental Insurance Introduction

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4 Terms

1
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First-dollar benefits

benefits paid without any deductibles or copays to satisfy

2
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Indemnity 

a principle which states that an insured cannot profit from reimbursement for a loss

3
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Nonscheduled plan

also known as comprehensive; benefits are paid on a reasonable and customary basis and are subject to deductibles and coinsurance

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Scheduled plan

also known as basic; pays benefits from a list of procedures up to the amount shown in the schedule

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