Dental Benefits, Part A: An Overview of Dental Benefits and Dental Plans

Course Overview

When more consumers have access to dental coverage, our entire health care system does better. Recent data shows a compelling link between preventive oral health care and improvements in consumers’ overall health and well-being. AHIP’s Dental Benefits, Part A: An Overview of Dental Benefits and Dental Plans course provides the information you need to navigate and maximize this essential coverage.

Learning Objectives

What You’ll Learn

  • Gain a foundational understanding of how dental coverage works
  • Examine the areas where dental plans and medical insurance are similar and how they differ
  • Identify different types of dental plans
  • Review coverage inclusions and exclusions
  • Consider the legal requirements and methods for detecting and deterring fraud
  • Understand the industry’s regulatory environment
  • Explore network building and how dental plans are marketed
  • Learn relevant terms, case scenarios, and key concepts

Who Should Take This Course

  • Agents and brokers
  • Dental students
  • Dentists
  • Health insurance provider staff
  • Plan administrators
  • Product managers

Note

  • Self-study via textbook
  • One online exam

Module 1: Dental Benefits in a Changing Economy

Module 2: Dental Plans: A Compendium

Module 3: How Dental is Different from Medical

Module 4: Is it Medical or Dental

Module 5: Maximizing the Value of Group Benefits

Module 6: Dental Plan Selection

Module 7: The Role of Networks

Module 8: Building Networks and Recruiting Dentist

Module 9: The Provider Contract

Module 10: Principles of Plan Design

Module 11: Limitations and Exclusions

Module 12: Not a Benefit? I Want it Covered Anyway

Module 13: The Past, Present, and Future of Dental Pricing

Module 14: Myths about Dental Insurance

Module 15: Great Idea That Didn't Work and Classic Mistakes

Module 16: Voluntary Dental Benefits

Module 17: Other Types of Dental Products

Module 18: Quality of Care: An Overview

Module 19: Abuse and Quality: Who is Responsible?

Module 20: Fraud and Abuse

Module 21: Utilization Review

Module 22: Plan Performance Measures and Reporting

Module 23: Auditing Dental Administrators

Module 24: Legal and Regulatory Constraints

Price: $295

This Course includes:

   Text-based content

   5 weeks