NEO - Insurance

What are the two main types of dental insurance?

• OHP & WDG Plans

• WDG Plans & Aetna

• WDG Plans & Fee for Service

• Aetna DMO & Aetna PPO

What type of insurance does not have maximums and/or deductibles?

• WDG Plans

• Fee for Service

What type of insurance allows a patient to be seen by any dentist who accepts their insurance?

• WDG Plans

• Fee for Service

What does DOR stand for?

• Department of Revenue

• Division of Responsibility

• Date of Request

• Doctor of Record

What does "capitation" or prepaid insurance mean?

• We get paid per member, per month

• Patients don't pay anything for insurance

• Someone loses their head

• Patients pay for their services in advance

Where can the Oregon Health Plan (OHP) rule book be found?

• Woogle

• In a binder somewhere

• Under your bed

• Google

What is the Fee for Service generic billing model in axiUm?

• 20/30/50

• 100/80/50

• 25/60/75

• 50/80/100

What is considered a major service?

• Cleaning

• Filling

• Dentures

• Whitening

What is the difference between an Aetna DMO and Aetna PPO plan?

• Nothing

• PPO is a WDG Plan, DMO is a FFS

• DMO is a WDG Plan, PPO is a FFS

• The PPO is better than the DMO

What are the two types of OHP Plans?

• WDG Plans & FFS Plans

• Plus & Super Plus Plans

• Limited & Plus Plans

• Standard & Plus Plans