| Q: |
What is a Self-funded Plan?
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| A: |
Self-funded is when an entity (ie. Welfare Fund, Teachers’ Union, School District or business), retains
an organization such as a Third Party Administer to administer their dental benefit. The entity is
responsible for actual claims experience (dental procedures performed rather than an Insurance
Premium) for the participants. Usually leasing a dental network, such as Sele-Dent is incorporated in
this service.
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| Q: |
What are some advantages in choosing a Self-funded Plan?
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| A: |
Typically, a self-funded plan may offer better benefits and provide significant savings to the entity,
as opposed to traditional indemnity plans. Furthermore, when choosing a self-funded option, the plan
sponsor may design a specific dental plan which is customized to the group’s needs and
dental desires.
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| Q: |
How large of a group should go Self-funded?
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| A: |
There are various schools of thought on this question. Our organization believes in most circumstances, a group should be over 400 employees to consider a Self-funded option. However, Sele-Dent does provide Fully-Insured dental quotes for smaller groups better suited for a traditional indemnity plan.
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| Q: |
Is it difficult to go Self-funded with Sele-Dent, Inc.?
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| A: |
No. Sele-Dent, provides Consultations for benefit plan options. Sele-Dent processes all dental
claims in-house , manages all banking arrangements, handles all customer service and provides a
comprehensive proposal and implementation. It is virtually simple, easy and painless to go Self-funded with Sele-Dent.
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| Q: |
What are the benefits of choosing a Sele-Dent Participating Provider versus a Non-Sele-Dent Provider under a Self Funded Plan?
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| A: |
It is very important to choose a Sele-Dent Participating Provider. This is not a HMO type plan; it is a PPO– Preferred Provider Organization. Therefore, in most cases, groups with Sele-Dent, pay benefits for non Sele-Dent providers as well. However, if you choose a Sele-Dent Provider, you will in many cases, have no out-of-pocket expenses and may receive considerably more dental services within your plan maximum, as opposed to visiting a non-participating provider.
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| Q: |
How does Sele-Dent handle quality control of its network?
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| A: |
Sele-Dent performs a rigorous background check for applicants to the network. This includes academic degrees, licenses, Insurance documents, active DEA number and possible on-site visits. Sele-Dent, Inc . Ensures our network provides the highest quality dental care to all our members.
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