Recent problem could be driving up your healthcare costs
Benefits pros have been preaching it for years: Emergency rooms are for emergencies only. But there’s one type of emergency your employees may be visiting the ER for when they really shouldn’t – and it could be very costly.
According to new research by The Pew Center on the States, a growing number of Americans are going to the ER to treat dental problems.
Pew analyzed hospital info from 24 states, data from the Federal Agency for Healthcare Research and Quality, and dental care studies.
Some of its findings should be very troubling to health plan providers:
- ER visits for dental problems increased 16% from 2006 to 2009
- In Florida, 115,000 ER dental visits in 2010 racked up $88 million in charges
- 66,000 ER visits in Georgia for non-traumatic dental problems or other oral health issues cost $23 million to treat in 2007
- South Carolina ER visits in 2009 for dental-related problems increased 60% from four years earlier, and
- Also in 2009, Tennessee hospitals had more than 55,000 dental-related ER visits — five times as many as for burns.
Why is this so disturbing? At a cost of about $50 to $100 per appointment to receive preventive care at a dentist’s office, individuals could save themselves from experiencing dental emergencies, which can cost more than 10 times that to treat in the ER, explained a professor at the University of Florida’s College of Dentistry, who reviewed the report.
The reason going to the ER is so much more expensive: They are not staffed by dentists. So often times all ER docs can often do is offer pain relief and medicine for infected gums. That tends to do little to remedy the problem over the long haul, leading to return trips to the ER.
In fact, Pew found that nearly 20% of all dental-related ER visits in Minnesota were return trips.
Info: To read Pew’s full research report, click here.
Can I just add that having regular scheduled dental visits does not mean you won’t have a dental emergency. It really just means that little cavities won’t turn into big cavities that get infected. If you get your teeth knocked out in car accident at 7 p.m. on Friday, then you have a dental emergency and your dentist office will be closed until Monday morning.
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Alison,
Sorry about that. I had dental through that company for a little while as I didn’t like the original plan that my company had. It would have been cheaper to pay for it myself.
I finally convinced the owners to go with Ameritas and my employees loved it. I had to work hard to keep the monthly premiums reasonable while providing the best possible coverage, but I had 48 people sign up at the original enrollment and was adding 6-10 each open enrollment there after. And people who had been putting off the dentist were starting to go.
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I think that’s the main problem here. Employers and insurance companies don’t want to admit just how important dental care is. Employees either can’t afford the inadequate dental insurance that is offered, or it’s not offered at all. Many people end up going to the ER because the $50 (or so) co-pay is much cheaper than the other options. I have a decent enough job with dental insurance included with my medical, and I call it a token policy. If I developed a major dental problem, I would still be in a financial jam in order to get it fixed. The worst policy I have seen so far was on my husband’s former job. They said he would have to pay into the policy for two YEARS before he could use it. I won’t name the company, but their duck is cute. Needless to say, he told them to shove it. He ended up getting his dental work done at a very fine university dental school in Indianapolis.
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When I was trying to get my conpany to get improved dental insurance, the owner stated that it wasn’t important. I countered that regular dental visits can help diagnose other major medical problems, such as heart disease (plaque levels at cleanings). Guess that I was doing something right.
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