This is the period prior to a benefits program anniversary date in which individuals eligible for benefits may consider their options and choose their dental benefits dental insurance plan for the following plan/calendar year.
Oral health matters
Poor oral health doesn't just affect your mouth. Research suggests it may contribute to a variety of health conditions. In addition, many health conditions often show early signs in your mouth. Regular visits to the dentist can play a vital role in the early detection and management of these conditions. Simply put, it is as equally important to take care of your mouth as any other part of your body.
"Out-of-network" generally refers to dentists who have not contracted with a dental insurance plan administrator to provide dental services at reduced fees to members of a dental benefits program. These dentists are also referred to as "non-network dentists."
Out-of-pocket expenses are any required member costs that exceed the amount a dental insurance plan will reimburse. Typical out-of-pocket expenses include deductibles, co-payments, coinsurance, and costs exceeding a dental benefits annual or lifetime maximum.
This unethical practice occurs when a dentist submits a claim or bills a member for a more complex, higher-cost procedure than was actually performed. It can also include billing additional, extraneous procedures that should not be billed. This may also be referred to as upcoding.
