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What Are Out-Of-Network Dentists?

Posted on 6/6/2022 by Dr. David Wanserski
What Are Out-Of-Network Dentists?Most highly trained dentists tend to prefer working out-of-network. These dentists are not in agreement and are not contracted with any insurer. Therefore, they do not have any pre-established rates. Often, patients consider choosing an out-of-network dental office because they have freedom in choosing the office that best suits their oral needs. If you have a Preferred Provider Organization (PPO) plan, your coverage for various dental treatments may range from 100 to 50 or even 40 percent based on the kind of plan you have.

Benefits of Choosing Out-of-Network Offices

If you are seeking complex dental treatments or cosmetic procedures, it is better you consider a dentist that meets your needs and has the expertise in that field. You may find it necessary to see an out-of-network dentist when in-network dentists cannot suit your needs. Also, working with out-of-network offices means you avoid the risk of receiving low-quality treatment just because there aren't many options for dentists to choose from the list. Moreover, you can still utilize your insurance plan in order to have your money reimbursed straight to your home.

Are There any Downsides?

Yes, there are drawbacks to choosing out-of-network dentists. First, these dentists are not subject to a fixed price agreed upon with an insurance company, therefore, fees may be higher. Second, choosing an out-of-network dentist means you pay for the services during the time of treatment, that's why it's called a “fee-for-service office.” Therefore, you have to spend more out-of-pocket.

Something to mention here is that being out-of-network doesn't mean you cannot use insurance. It also does not mean you will not get any benefits from your insurance plan either. A majority of out-of-network offices accept insurance. Although you pay for your services at that time you are getting treatment, the dental staff assists you to file the claim so that you can be reimbursed. Let us discuss your insurance coverage options for dental treatments. Book a consultation appointment today.
Wanserski Dental Center for Complex Dentistry
(715) 848-2435

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Dental Blog | Wausau, WI | Wanserski Dental Center for Complex Dentistry
Dr. David Wanserski, DDS, from Wanserski Dental Center for Complex Dentistry, has created this informative blog to help educate the community. Learn more.
Wanserski Dental Center for Complex Dentistry, 550 N. 17th Ave. Wausau, WI 54401; (715) 848-2435;; 6/16/2024; Tags: Prosthodontist Wausau WI;