Questions patients can ask to help them evaluate an HMO or Managed Care Plan

blue diamond bullet What special programs do you have to prevent disease or to treat chronic diseases like TMJ (jaw joint) or periodontitis (gum disease)?

blue diamond bullet Are pre-existing conditions covered? Is there a waiting period before some conditions are covered? What services or treatments are not covered?

blue diamond bullet What are your restrictions for tooth replacement, implants, orthodontics and jaw surgery?

blue diamond bullet Do you have limits on experimental treatments?

blue diamond bullet Do you have limits on what drugs I can take?

blue diamond bullet Must I pick a primary care dentist to handle most dental needs?

blue diamond bullet Can I see dentists outside your network? Is it more expensive to do so?

blue diamond bullet How do you choose your dentists or specialists? What is the percentage of board certified specialists? Have your representatives actually visited each of your dentist's facilities prior to acceptance as a plan dentist? Are your dentists required to take a certain nunber of continuing education courses each year and how do you verify compliance?

blue diamond bullet How do you pay your dentists? Do they receive incentives for spending less on care?

blue diamond bullet Do you bar dentists from criticizing you or disclosing to me how you pay them?

blue diamond bullet Explain the appeals process I must go through if I am not happy with your decision on my care?

blue diamond bullet Is your plan accredited by the National Committee for Quality Assurance and by the Insurance Commissioner of my state? Did your plan fare well in the Maryland Health Care Comission's  HMO Report Card?

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You may schedule an orthodontic appointment with Dr. William Trepp in his Pasadena, MD office by calling 410.696.4624 or in his Clinton, MD office by calling  301.868.6200. Written inquiries should be mailed to: 3020 Mountain RD, Pasadena, MD 21122, USA or 8918 Woodyard RD, Clinton, MD 20735, USA
 

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