Help Deciding Dental HMO or PPO

Hi there, I am being offered HMO and PPO. I am unsure which to get as this is my first time signing up for Dental Insurance with my job (no longer have state insurance). I know I have to take out 1 tooth, I have cavities, and I lost a tooth so I may have to have it replaced (to get an idea of dental work). Here are the pricing options: Dental HMO and PPO – first 3 pages are HMO and page 4 is PPO

Please let me know if anything else is needed. I would prefer it cheaper to pay biweekly with my checks but I know I have dental work that needs to be done so not sure if I should get PPO. Looking at PPO there’s a $2000/yr cap and Im sure it will go over that. Last time I got an estimate, it was around $5000 (nothing was covered by state insurance).

PPO is $50/every pay period

HMO is $13/every pay period

Which do you think I should sign up for? I live in Los Angeles, CA so I don’t think I will have too much of a hard time looking for a provider within the HMO network. Looking into it before making this post, it seems HMOs issue is their smaller network where PPO has a larger. Another issue was that HMO may upsell/not provide as good support.

An issue with PPO is their $2000/yr cap assuming I need $5000+ in work done (but hard to calculate since a percentage is covered, so it could be near the $2000/yr max rate). Please let me know if you need more info or I missed anything.

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Extra note: I make $20/hr and I am getting it for my child too. My Bf (his dad) lives with us, but has his own insurance. It would be cheaper to get our son on my insurance plan.

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TLDR: Which insurance should I choose for Dental: Dental HMO and PPO – first 3 pages are HMO and page 4 is PPO

Monthly Rate: PPO $100/mth or HMO $26/mth

Location: Los Angeles, CA

submitted by /u/LazyTits127
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Hi there, I am being offered HMO and PPO. I am unsure which to get as this is my first time signing up for Dental Insurance with my job (no longer have state insurance). I know I have to take out 1 tooth, I have cavities, and I lost a tooth so I may have to have it replaced (to get an idea of dental work). Here are the pricing options: Dental HMO and PPO – first 3 pages are HMO and page 4 is PPO Please let me know if anything else is needed. I would prefer it cheaper to pay biweekly with my checks but I know I have dental work that needs to be done so not sure if I should get PPO. Looking at PPO there’s a $2000/yr cap and Im sure it will go over that. Last time I got an estimate, it was around $5000 (nothing was covered by state insurance). PPO is $50/every pay period HMO is $13/every pay period Which do you think I should sign up for? I live in Los Angeles, CA so I don’t think I will have too much of a hard time looking for a provider within the HMO network. Looking into it before making this post, it seems HMOs issue is their smaller network where PPO has a larger. Another issue was that HMO may upsell/not provide as good support. An issue with PPO is their $2000/yr cap assuming I need $5000+ in work done (but hard to calculate since a percentage is covered, so it could be near the $2000/yr max rate). Please let me know if you need more info or I missed anything. ​ Extra note: I make $20/hr and I am getting it for my child too. My Bf (his dad) lives with us, but has his own insurance. It would be cheaper to get our son on my insurance plan. ​ TLDR: Which insurance should I choose for Dental: Dental HMO and PPO – first 3 pages are HMO and page 4 is PPO Monthly Rate: PPO $100/mth or HMO $26/mth Location: Los Angeles, CA
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