How does the dental PPO plan work when I go out-of-network?

Generally, you may use any dentist you choose. However, your cost will generally be higher and you have certain added responsibilities. For example:

  • You must pay a deductible before the plan begins to pay benefits
  • After you satisfy the deductible, the plan will reimburse you for a percentage of your eligible expenses and you will pay the balance. This coinsurance may be higher than for in-network services
  • You must complete claim forms and file claims with the dental plan to receive payment of benefits
  • The plan will not cover any charges above the allowable amount

* Case Studies are for illustrative purposes only. Services, timeframes and results may vary.

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