Page 10 - D13906 - LBMAO - Reporter Mag_web
P. 10

Insurance UPDATE
























                  rovided by
              morneau shepell














                                  controlling rising dental costs




                                     he  escalating  cost  of  dental  benefits  should   12  months.    Reducing  your  dental  care  costs  saves
                                  Tbe  of  concern  to  everyone.    Employers  are   everyone money - including you. It lowers the overall
                                  looking more closely than ever at the cost of these   cost of your group insurance program and when that
                                  benefits  and,  when  costs  go  up,  they  acti ely  seek   happens we all benefit
                                  means of controlling them. Often this results in the   Also,  if  the  cost  of  any  proposed  treatment  is
                                  implementation  of higher  deductibles  or a reduced   expected to exceed $300, it’s always a good idea to
                                  percentage  of  reimbursement  for  eligible  services.    ask your dentist to submit a predetermination before
                                  The  part  of  the  costs  not  covered  by  the  group   the  service  is  performed.    By  providing  the  carrier
                                  insurance plan is left to the insured employee to pay   the description of the procedures to be performed
                                  out-of-pocket.                               prior, you will be advised of the cost covered under
                                     Efforts to control costs should really begin with the   your  plan  and  any  out-of-pocket  differences.    The
                                              insured employee. Employers can limit   carrier  reserves  the  right  to  make  a  determination
                        " he fewer claims     what  the  dental  plan  will  cover,  but   of  benefits  payable,  taking  into  account  alternate
                                              only the employee can control what is   procedures, services or course of treatment based on
                         made against the     actually submitted.  The fewer claims   accepted standards of medical/dental practice.
                       plan, the lower the    made  against  the  plan,  the  lower   The  LBMAO  Program  offers  groups  of  all  sizes
                                              the  cost  of  premiums  will  be.  Today,   many  different  coverage  options,  allowing  you  to
                         cost of premiums     employees  must  become  informed   tailor  your  benefits  to  your  e ployees   needs      ll

                                   will be."  consumers.                       benefit  plans  include  an    ployee   ssistance
                                                As  an  example,  many  adults  can   Program (EAP) serviced by Shepell·fgi and there are no
                                              reduce  the  frequency  of  their  dental   minimum size requirements necessary for coverage
                                  check-ups, x-rays, and cleanings without affecting the   under the LBMAO Program.
                                  quality of care they receive. If you have healthy teeth    or  assistance  in  co paring  benefit  plans  or
                                  and gums and practice good oral hygiene, you may   to  obtain  a  no  obligation,  free  quote,  please  call
                                  be able to do this as well. Talk to your dentist about   Morneau Shepell at 1-866-307-1403.
                                  the possibility of extending the time between check-
                                  ups and cleanings from every 6 or 9 months to every   Membership has its privileges!

            10  LBMAO Reporter - September-October 2018                                                  www.lbmao.on.ca
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