Insurance Basic 101 Part 2

A detailed illustration of dental insurance concepts including policy documents, dental treatments, and a calendar with dental check-up reminders.

Insurance Basics Quiz: Test Your Knowledge

Welcome to the Insurance Basic 101 Part 2 quiz! This engaging quiz will help you assess your understanding of dental insurance principles and key concepts.

Join us to discover:

  • The nuances of coverage limitations
  • Understanding waiting periods and effective dates
  • Differentiating treatment classes
  • And much more!
10 Questions2 MinutesCreated by AnalyzingExpert47
If a patient's cleaning is covered only twice per year this is often classified as:
Deductible
Copay
Replacement Clause
Frequency -limitations
If a patient's policy covers 2 cleanings per 12 months which of the following sequence would be covered:
Cleaning: Jan 14 Aug 16 Jan 12
April 16 Oct 17 march 24
March 12 Sept 12 March 15
Feb 6 Aug 7 Jan 24
True or False: A plan can have multiple Waiting Periods
False
True
Check all that an effective date may apply to (check all that apply)
Coverage begins
Waiting periods
How often a patient can have x-rays
Prep/seat dates
Missing tooth clause
Dental Insurance often breaks up the codes into groups known as Treatment Classes: Which of the following classes are commonly used. (check all that apply)
Diagnostic/Preventative
Bone Replacement
Basic Restorative
Major Restorative
Minor league
Orthodontic
True of False: if a patient ins policy runs on a Calendar Year and pays multiple visits on seat date: Pts crown TX was started in Dec 2022 and delivered on Jan 2023 they will be able to use 2022 benefits to pay for the crown
True
False
Downgrades are used as follows:
When a dental code is excluded
If a patient is missing a tooth prior to coverage
When a less costly material can be used to complete the same service
When patients have dual insurance paying for same treatment
An alternate benefit is used as follows:
When a less costly service can be used the solve the patients problem
When the patient has used all their frequencies for this treatment
When a patient has medical coverage
It forces patients to use all benefits and deductibles first
Our Partial breakdowns give us the following information(check all that apply)
Subscriber Name DOB ID#
What type of Ins plan (ppo dmo traditional etc)
Patient history
Waiting periods
Effective date
Percentage coverages
Downgrades
Our Full Breakdowns will give the following information: (check all that apply)
Employer and group #
Missing Tooth Clasue
Benefit Year/ colander or month
Subscriber name and ID
Max/ Deductible
Patient history
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