BeneCare Dental Plans
- Company typePrivate
- Founded1979
- HeadquartersPhiladelphia, United States
- Headcount101–250
- GTM typeB2B
- OfferingServices
BeneCare Dental Plans firmographics
Firmographics- Name
- BeneCare Dental Plans
- Legal name
- Dental Benefit Management, Inc.
- Website
- https://benecare.com
- Company type
- Private
- Founded year
- 1979
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Ownership category
- akta.pro rank
BeneCare Dental Plans industry classification
Industry- Product category
- Dental Insurance
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Group Dental Plans (Employer-Sponsored) (HLAEAIAG)
- akta.pro secondary industries
- Dental PPO Plans (HLAEAIAA), Dental Benefit Administration (DBA) & ASO/TPA for Dental (HLAEAIAJ), Dental PPO Networks (HLAEANAE)
Keywords
Where BeneCare Dental Plans is headquartered
LocationHeadquarters
- HQ city
- Philadelphia
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
BeneCare Dental Plans business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D, Others
Revenue model
- Group Dental Plan Premiums: BeneCare generates revenue through fully insured group dental plans where employers pay monthly premiums for employee coverage. Premiums are calculated based on utilization rate projections and care expense factors. The Premium Credit Program offers potential savings/credits if actual care expenses fall below projections.
- Administrative Services: Administrative Services Only (ASO) option available for plan sponsors, providing administrative support without insurance risk.
- Association Plan Administration: Association programs underwrite entire associations as single large groups, providing large group pricing and private exchange platform administration for member organizations.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Multi-year contract | Fundamental Plans - Preventive wellness EPO plans |
| Subscription | Multi-year contract | Essential Plans - Preventive and basic procedures |
| Subscription | Multi-year contract | Comprehensive Plans - Preventive, basic, and major restorative |
| Subscription | Multi-year contract | Enhanced Plans - Rich benefit plans |
| Subscription | Multi-year contract | Plus (+) - Orthodontia add-on |
| Outcome Based/ Performance | Multi-year contract | Premium Credit Program |
Go-to-market motion2 records
Distribution channels5 records
Marketing channels6 records
BeneCare Dental Plans product offering
Product offeringCore offering
BeneCare Dental Plans administers group dental benefit programs for plan sponsors, providing tiered PPO/EPO plan designs, a direct-contracted provider network, claims administration, and ancillary offerings including orthodontia, virtual dental visits, and premium credit programs. Offerings are sold primarily to employers, associations, and managed care organizations through brokers and benefits consultants, with members as the end covered parties.
Product overview
BeneCare Dental Plans is a dental insurance administrator offering a portfolio of group dental plans (PPO and EPO) founded on an outcomes-based reimbursement model introduced in 1979. The core product portfolio includes four plan tiers — Fundamental, Essential, Comprehensive, and Enhanced Plans — differentiated by benefit richness from preventive-only to major restorative coverage. Three network tiers (Choice, Select, Prime) provide pricing flexibility. Optional orthodontia coverage ('Plus') can be added to most plans. BeneCare also offers a Premium Credit Program as an alternative to level-funding, association group plans with private exchange platforms, Medicare Advantage supplemental plans, managed care organization products, and an Indie product line for very small businesses (2-9 enrolled). A teledentistry benefit powered by TeleDentistry.com provides 24/7 virtual dental visits as a permanent member benefit. BeneCare's proprietary BeneQuote engine and EDI clearinghouse integrations (Change Healthcare, DentalXChange, Renaissance) support plan sales and claims processing.
Differentiator
Problem solved
Functional benefit
Products and services
- Fundamental Plans Entry-level PPO/EPO dental plan offering basic preventive coverage for employer and association groups.
- Essential Plans Mid-tier PPO/EPO dental plan with expanded preventive, basic, and major service coverage for employer groups.
- Comprehensive Plans Higher-tier PPO/EPO dental plan with broader service coverage and higher annual maximums for employer groups.
- Enhanced Plans Top-tier PPO/EPO dental plan with the richest benefits and coverage levels for employer groups seeking premium offerings.
- Plus (Orthodontia) Optional orthodontia rider that can be added to any base BeneCare dental plan to provide adult and child orthodontic coverage for plan members.
- Prime Network BeneCare's direct-contracted dental network tier offering broadest provider reach to plan members.
- Select Network Mid-tier direct-contracted dental network offering a balanced provider footprint and pricing for plan members.
- Choice Network Cost-effective direct-contracted dental network offering a curated set of providers for value-driven plan designs.
- Premium Credit Program Program that returns a portion of unused premium back to plan sponsors as a feature attached to BeneCare dental plans.
- Virtual Dental Visits Teledentistry service enabling plan members to consult remotely with dentists for dental issues.
- Small Group Dental Plans Group dental plans designed for employers with two to fifty enrollees, giving smaller employers access to BeneCare's PPO/EPO and network choices.
- Large Group Dental Plans Customizable dental plan designs for employers with 100+ covered lives, available with multiple deductible, coinsurance, and maximum combinations.
- Association Group Dental Plans Dental benefits structured for trade associations and member-based organizations, offered to association members as group-rated coverage.
- Managed Care Organization Plans Dental plans tailored for managed care organizations' Medicare Advantage members, providing preventive and comprehensive supplemental dental coverage.
- BeneQuote Proprietary web-based quoting tool enabling advisors and brokers to generate dental benefit rate quotes and proposals for employer groups.
Quantifiable outcome
- Year 1 treatment claims: 79% of dental claims. By Year 2-3: treatment reduced to 29%, preventive increased to 71%. Utilization increased from 27% to 64% by Year 2.
- +3 more outcomes
Companies that use BeneCare Dental Plans
Customer profileNamed customers7 records
Segments5 records
Ideal customer profiles4 records
BeneCare Dental Plans technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration5 records
AI capability2 records
Feature4 records
BeneCare Dental Plans partnerships and signals
Strategic signalPartnerships
Nine partnerships are on record, tiered core and minor.
- Chamber of Commerce Southern New Jersey (CCSNJ)coreStrategic relationship offers exclusive suite of association dental plans to all CCSNJ member companies at large group rates. CCSNJ represents members from seven counties of Southern New Jersey, Greater Philadelphia, and Northern Delaware. Program serves micro and small businesses (approximately 85% of membership).
- Penn Dental Medicine - Care Center for Persons with DisabilitiesminorBeneCare made a generous donation to the newly opened Care Center for Persons with Disabilities at Penn Dental Medicine. The donation, made in memory of Dr. B.H. Serota (BeneCare's founder), supports the 3,500-square-foot Personalized Care Suite providing oral health care to patients with physical and intellectual disabilities.
- TeleDentistry.comcoreStrategic relationship enables 24/7 virtual dental visits (teledentistry) for all active BeneCare members. The TeleDentistry.com technology platform connects members with state-licensed dentists via live consultation using internet-enabled devices (tablets, smartphones, laptops, desktops). Members access virtual visits through secure member website or by phone.
- Rutgers School of Dental MedicinecoreBeneCare established an annual scholarship at Rutgers School of Dental Medicine to support future generations of dental professionals. Scholarship awarded to second-year dental students in good academic standing with financial need. Benefits the dental profession and reinforces BeneCare's clinical focus.
- New Castle County Chamber of CommercecoreThrough the 'Benefits Connection' program, the Chamber offers group dental coverage to its members. BeneCare analyzed local market conditions and adjusted reimbursement schedules to encourage provider participation. Case study demonstrates successful shift from 79% treatment to 71% preventive care over two years with only 4% rate adjustment over five years.
- Boys and Girls Club of Atlantic CityminorCommunity outreach partner for National Children's Dental Health Month. BeneCare donated children's oral health kits (toothbrush, toothpaste, dental floss) and educational materials to support youth oral health education.
- Jacquelyn Y. Kelley Discovery Charter SchoolminorCommunity outreach partner in Philadelphia for National Children's Dental Health Month. Received oral health kits and educational materials (crossword and word search puzzles) to teach children about oral health.
- Fox Chase Elementary SchoolminorCommunity outreach partner in Philadelphia for National Children's Dental Health Month observance. Oral hygiene kits distributed to all kindergarten through grade 5 students along with educational puzzles.
- New York Avenue Elementary SchoolminorCommunity outreach partner in Atlantic City, NJ for National Children's Dental Health Month. Received oral health kit donations for elementary school students.
Scale indicators4 records
Recent moves6 records
Expansion highlights5 records
BeneCare Dental Plans competitors and assessment
Company assessmentDirect peers
- Guardian Life Insurance Company of America: Major mutual dental and vision insurer offering PPO and DHMO products to employer groups across the U.S. Comparable to BeneCare on employer-focused group dental PPO, dentist-direct network approach, and emphasis on preventive care utilization.
- Sun Life U.S. Dental: Group dental and vision benefits provider within Sun Life Financial U.S. operations. Comparable to BeneCare on employer group dental products (PPO/DHMO), ASO services, and emphasis on mid-market employer plan sponsors.
- Spirit Dental & Vision: Direct-to-consumer dental and vision carrier offering PPO plans without waiting periods, often via brokers and associations. Comparable to BeneCare on small group and association dental products, multi-tier plan structures, and broker-led distribution channels.
- Humana Dental: Major dental benefits carrier owned by Humana Inc., with strength in Medicare Advantage dental supplemental plans. Highly comparable to BeneCare on employer group dental PPO products and on Medicare Advantage dental supplemental offerings — a product line both companies carry.
- Delta Dental Plans Association: The largest dental benefits carrier in the United States, operating a network of independent Delta Dental member companies across all 50 states. Directly comparable to BeneCare as a dental-specialty carrier selling group PPO/EPO plans to employers and associations, with a focus on dentist-direct contracting and preventive care incentives.
- MetLife Dental Insurance: Major national dental benefits carrier within MetLife, offering group PPO, managed care, and ASO products to employers across all 50 states. Comparable to BeneCare on product structure (group PPO/EPO, preventive-rich plans, orthodontia add-ons) and SMB/mid-market employer focus.
- Cigna Dental: National dental benefits carrier offering DHMO, DPPO, and indemnity plans via Cigna Healthcare and the Cigna + Salesforce integration. Comparable to BeneCare as a group dental benefits seller with PPO/EPO products, ASO, and dental-medical bundling capabilities.
- UnitedHealthcare Dental: National dental benefits arm of UnitedHealth Group, offering PPO, DHMO, and dual-option plans nationwide. Comparable to BeneCare on group dental benefits structure, employer plan sponsor focus, and integration of dental with medical benefits — though at significantly larger scale.
- Aetna Dental: CVS Health-owned dental benefits carrier offering DMO and PPO plans nationally to employer groups. Directly comparable to BeneCare in serving employer plan sponsors with PPO/EPO products, plus Medicare Advantage dental supplemental coverage.
Others
- AmeriHealth Administrators: Regional third-party administrator for health benefits, headquartered in Philadelphia and a subsidiary of Independence Blue Cross. Comparable to BeneCare as a healthcare benefits administrator in the same Mid-Atlantic geography, with ASO/TPA services to plan sponsors — though focused on medical rather than dental.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights6 records
Customer concentration
BeneCare Dental Plans social profiles
Digital presenceBeneCare Dental Plans compliance and trust
Trust signalCompliance1 record
BeneCare Dental Plans financial estimates
Financial estimateRevenue estimate
Valuation estimate
BeneCare Dental Plans leadership team
Management profileNumber of profiles
Profiles4 records
BeneCare Dental Plans funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
BeneCare Dental Plans M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about BeneCare Dental Plans
What does BeneCare Dental Plans do?
BeneCare Dental Plans administers group dental benefit programs for plan sponsors, providing tiered PPO/EPO plan designs, a direct-contracted provider network, claims administration, and ancillary offerings including orthodontia, virtual dental visits, and premium credit programs. Offerings are sold primarily to employers, associations, and managed care organizations through brokers and benefits consultants, with members as the end covered parties.
Is BeneCare Dental Plans a public or private company?
BeneCare Dental Plans is a private company. It is classified as family owned and is currently operating.
When was BeneCare Dental Plans founded?
BeneCare Dental Plans was founded in 1979. It employs 101 to 250 people.
Where is BeneCare Dental Plans based?
BeneCare Dental Plans is headquartered in Philadelphia, United States, in the North America region.
How does BeneCare Dental Plans make money?
Three revenue lines are on record. Group Dental Plan Premiums are the primary driver. The others are administrative Services and association Plan Administration.
Who are BeneCare Dental Plans's main competitors?
Direct peers on record are Guardian Life Insurance Company of America, Sun Life U.S. Dental, Spirit Dental & Vision, Humana Dental, Delta Dental Plans Association, MetLife Dental Insurance, Cigna Dental, UnitedHealthcare Dental and Aetna Dental. AmeriHealth Administrators is listed as an others.
Does BeneCare Dental Plans have an API?
No public API is recorded for BeneCare Dental Plans.
What industry is BeneCare Dental Plans in?
BeneCare Dental Plans's product category is Dental Insurance. Its primary akta.pro industry code is HLAEAIAG, Group Dental Plans (Employer-Sponsored), with a secondary code of HLAEAIAA, Dental PPO Plans. Its NAICS code is 524292 and its SIC code is 6324.