How Network Dentists Are Paid. We pay network dentists directly for covered dental services. Network dentists agree not to bill, charge, collect a deposit from, or seek reimbursement from you for a covered dental service, except for your share under the plan. When you see a network dentist, you are responsible for a share of the cost of covered dental services. Your share includes the deductible, if one applies, and the coinsurance, as listed in the Summary of Benefits. In addition, reimbursement for covered dental services is always subject to your annual maximum benefit. Your dentist may request these payments at the time of service or may bill you after the service. If you do not pay your dentist, the dentist may decline to provide current or future services or may pursue payment from you, such as beginning collection proceedings.
How Network Dentists Are Paid. We pay network dentists directly for covered dental services. You are responsible for the coinsurance, if any, which may apply to a covered dental service. In addition, reimbursement for covered dental services is always subject to your annual maximum benefit. Network dentists agree not to bill, charge, collect a deposit from, or in any way, seek reimbursement from you for a covered dental service, except for the coinsurance which may apply to a covered dental service. It is your obligation to pay a network dentist your coinsurance. If you do not pay the network dentist, the dentist may decline to provide current or future services or may pursue payment from you. See Section 1.9 – Your Responsibility to Pay Your Dentists for more information.
How Network Dentists Are Paid. We pay network dentists directly for covered dental services. You are responsible for the coinsurance or deductibles, if any, which may apply to a covered dental service. In addition, reimbursement for covered dental services is always subject to your annual maximum benefit. Network dentists agree not to xxxx, charge, collect a deposit from, or in any way, seek reimbursement from you for a covered dental service, except for the coinsurance and deductible which may apply to a covered dental service. It is your obligation to pay a network dentist your coinsurance and deductible. If you do not pay the network dentist, the dentist may decline to provide current or future services or may pursue payment from you. See Section 1.9 – Your Responsibility to Pay Your Dentists for more information.
How Network Dentists Are Paid. We pay network dentists directly for covered dental services. You are responsible for the coinsurance, if any, which may apply to a covered dental service. The copayments and deductibles you are responsible for are determined at the date of service and will not be retroactively adjusted for payments we make to providers under provider incentive, risk- sharing, care coordination, value-based or similar programs. In addition, reimbursement for covered dental services is always subject to your annual maximum benefit. Network dentists agree not to xxxx, charge, collect a deposit from, or in any way, seek reimbursement from you for a covered dental service, except for the coinsurance which may apply to a covered dental service. It is your obligation to pay a network dentist your coinsurance. If you do not pay the network dentist, the dentist may decline to provide current or future services or may pursue payment from you. See Section 1.9 – Your Responsibility to Pay Your Dentists for more information.
