BeneCare Dental Plans

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

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

• Group dental insurance
• Dental benefit administration
• Dental PPO plans
• Dental claims administration
• Employer dental benefits

Headquarters

HQ city

Philadelphia

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Others

Revenue model

1. 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.
2. Administrative Services: Administrative Services Only (ASO) option available for plan sponsors, providing administrative support without insurance risk.
3. 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

Go-to-market motion2 records

Distribution channels5 records

Marketing channels6 records

Core 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

Named customers7 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

AI capability2 records

Feature4 records

Partnerships

Nine partnerships are on record, tiered core and minor.

• Chamber of Commerce Southern New Jersey (CCSNJ)coreStrategic or Co-development Partner · 3 October 2022Strategic 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 DisabilitiesminorOthers · 9 August 2021BeneCare 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.comcoreTechnology or IntegrationStrategic 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 MedicinecoreStrategic or Co-development PartnerBeneCare 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 CommercecoreStrategic or Co-development PartnerThrough 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 CityminorOthersCommunity 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 SchoolminorOthersCommunity 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 SchoolminorOthersCommunity 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 SchoolminorOthersCommunity 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

Direct 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

• LinkedInlinkedin.com/company/benecaredentalplans

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about BeneCare Dental Plans