Short Description
An individual enrolled in a dental insurance plan, eligible to receive benefits under the policy.
Long Description
A member is a person who is covered under a dental insurance plan, either as the primary policyholder or a dependent. Members have access to covered dental services based on the terms of their insurance plan, including preventive care, basic treatments, and major procedures.
Each member has an ID number or insurance card that identifies them in the insurance provider’s system. Members are responsible for premiums, deductibles, copayments, and coinsurance as specified in their plan.
Understanding plan details, including annual maximums, exclusions, and network participation, helps members maximize their benefits and minimize out-of-pocket costs.