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With Direct Reimbursement (DR) / Direct Assignment (DA), it's easy to create a dental plan to meet your company's specific needs.
DR is a self-funded group dental plan in which the employee is reimbursed based on a percentage of dollars spent for dental care provided. DA is a self-funded group dental plan in which the Dentist is reimbursed based on a percentage of dollars spent for dental care provided.
Whether you're an HR benefits decision maker, a dental professional , or a consultant/ broker, DR may be of interest to you. Find out why thousands of companies are already enjoying the simple advantages of Direct Reimbursement.
The American Dental Association strongly supports DR, the dental profession's preferred method for financing dental treatment. The two primary reasons for this support are freedom of choice and fee-for-service dentistry.
Dental Direct Highlights
• No premiums, just a low monthly administration fee and a set up fee.
• Customize the plan to meet your needs.
• Claim payments are self-insured by the plan sponsor (employer) - you only pay for the dental care that is utilized.
• Employee payroll contributions (if any) can be taken pre-tax.
• No provider networks and same level of payment for all types of dental work. The only exclusions are cosmetic procedures, per IRS regulations.
• No waiting periods, no pre-authorizations, or pre-treatment estimates.
• DR encourages employees to explore treatment options. Treatment decisions are made between the employee and the dentist.
• Plan can be set up to reimburse the member (DR) or the provider (DA).
• Direct Reimbursement plans are strongly supported by the ADA.
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