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Out-Of-Network Provider

Dental benefit terms including out-of-network & in-network providers can be confusing when reviewing your dental insurance plan. Understanding the difference of these two terms is very important for members of all ages as it can determine how much out-of-pocket costs (if any) will be required to pay either before or after treatement. Out-of-network providers are not listed on the insurance plan and since they are not contracted with an insurance company, dental care treatment and services may not be covered. The patient may have to pay higher amounts for these services and there may not be reimbursement from the insurance company. If a patient has treatment at a dental clinic location or provider that isn't in-network the patient could be responsible to pay the full amount of the services.

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