Alternate Benefits. Ameritas’ dental plans include provisions for alternate benefits. If two or more procedures are adequate and appropriate treatment to correct a certain condition, Ameritas’ payment will be based on the charge for the least expensive procedure. Should Dentist perform a different method of treatment, the Dentist may collect from the Covered Person the difference in amounts described in Section V. (A) between the procedure actually reported and the alternate benefit.
Appears in 3 contracts
Samples: Participation Agreement, Participation Agreement, Participation Agreement
Alternate Benefits. Ameritas’ dental plans include provisions for alternate benefits. If two or more procedures are adequate and appropriate treatment to correct a certain condition, Ameritas’ payment will be based on the charge for the least expensive procedure. Should Dentist perform a different method of treatment, the Dentist may collect from the Covered Person the difference in amounts described in Section V. (A) between the procedure actually reported and the alternate benefitbenefit if the Dentist has disclosed and received written acceptance from the Covered Person of the potential difference in reimbursement amounts.
Appears in 1 contract
Samples: Ppo Dentist Participation Agreement