In this episode, we discuss the topic of how insurance plans, such as Delta Dental, pay for out-of-network services. Many individuals are navigating the process of transitioning away from insurance plans and understanding how out-of-network payments work is crucial in this journey. Also, Ben highlights that there’s no universal industry standard for out-of-network compensation. Instead, it varies by insurance provider, state, and specific plans.
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Time stamps
- 00:01:48 – Is there a standard insurance company follows to compensate for out-of-network benefits?
- 00:06:42 – What is the standard out-of-network guideline that Delta uses?
- 00:09:16 – Is Delta the only one that sends patient checks if you are not in-network?
- 00:10:30 – I heard many PPOs use FairHealth to process or pay out of network. Is that true?
- 00:16:52 – If I want to drop insurance, is it necessary to know what a dental plan pays out of network?
- 00:19:36 – If a listener has more questions about this, what resources are available?
Resources
