Episode 9

Upgrades and Non-covered services

July 11, 2023

Did you know that patients have the right to request and pay for a higher standard of care that insurance plans don’t cover?

This episode covers dental upgrades and the evolving landscape of treatment options. Learn how upgrades go above and beyond insurance coverage, allowing patients to access higher standards of care. Discover the difference between upgrades and non-covered services to explore the legal aspects of charging them.

Timestamps

  • 00:01:27 – What type of treatment is categorized as an “upgrade”? 
  • 00:08:50 – Are upgrades and non-covered services the same in the eyes of insurance? 
  • 00:11:36 – If I am in-network with insurance, can I charge a patient an upgrade without getting in trouble? 
  • 00:14:45 – Do all insurance plans allow upgrades? 
  • 00:18:17 – What’s the worst-case scenario seen with insurance fighting a practice on upgrades? 
  • 00:20:28 – What resources are available to learn about charging non-covered services and upgrades?

Resources

Freebie 9

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