In-Network Dentists vs. Out-of-Network Dentists: 5 Most Common Questions
Dental benefits are designed to save you money, and one of the best ways to maximize your benefits is to see an in-network dentist.
We answer the 5 most frequently asked questions about understanding and navigating the dental network:
1. I have dental benefits. Does that mean I can see any dentist?
Before you schedule an appointment, check your benefits to determine what your out of network coverage includes. Some dental plans include out-of-network coverage and others like an “EPO” plan may exclude benefits with out-of-network providers. Delta Dental of Wisconsin offers 2 networks. Knowing the difference can save you from an unexpected expense. Remember, even if you are free to see any dentist you choose, your best benefit is available when you visit an in-network dentist.
2. What does it mean for a dentist to be “in network?”
An in-network dentist agrees to charge patients a negotiated rate in exchange for reimbursement from a dental benefits company. This means that the dentist agrees not to charge patients more than the fees determined by the contract.
3. What are some benefits to seeing a network dentist?
The rates for different procedures such as cleanings, X-rays, and office visits are negotiated between the benefits company and dentist to provide the lowest cost possible to the patient. Conversely, out-of-network dentists can charge patients at any rate and benefits companies may not cover the costs. This could mean higher out-of-pocket costs for you as a patient. Dental benefits also focus on preventive care, and will often completely cover services like regular cleanings. This is not guaranteed if you visit an out-of-network dentist.
4. Does a network dentist accept any dental plan?
Not always. Not all dental plans are the same; many employers work with Delta Dental to choose the right plan(s) for employees, balancing cost and benefits. Some network dentists will accept one plan, but not another – even if that plan is offered by the same benefits company. Lastly, make sure you review your plan type before scheduling your appointment.
5. How can I find a network dentist?
Finding a network dentist is easy. Delta Dental has the largest dentist network in Wisconsin and in the country. Use our dentist search to find a network dentist closest to you.
Have any questions? We’re here to help. Feel free to reach out to us on Facebook and Twitter.
Related stories
-
Preventive Care & Your Dental Plan
You know it’s important to brush, floss, and eat healthy. But did you also know regular visits … Read More
-
Smartphone Selfies May Help You Brush Better
Of the 6 billion people on the planet, 4.8 billion have a cell phone, while only 4.2 … Read More
-
Gold Medal Mouths
All eyes will be on the Summer Olympics in Rio this August. In addition to checking out … Read More
Sign Up Now
Most Liked
- 1 Do Expiration Dates on Dental Products Matter? 305 Likes
- 2 Is Activated Charcoal Safe for your Smile? 166 Likes
- 3 Crazy and Cool Fish Teeth Facts 91 Likes
- 4 Delta Dental Protects Your Eyes with DeltaVision® Coverage 70 Likes
- 5 The In-between Tooth: Guide to Bicuspids 51 Likes
- 6 Recipe: Quick Pumpkin Pudding 49 Likes
- 7 Bad Taste After Brushing? Common Explanations 44 Likes
- 8 Own Your Oral Health: Subscribe now for tips to ensure a bright smile 38 Likes
- 9 People with Dental Benefits are Healthier 38 Likes
- 10 Signs of diabetic eye problems 36 Likes