Examples of Preferred Dentist in a sentence
The benefit payment is made directly to the Preferred Dentist and accepted as payment in full, except for any applicable Deductible and Coinsurance for which the Subscriber is responsible as stated in the Schedule of Benefits.
When a Preferred Dentist or Participating Dentist provides the comprehensive orthodontic treatment, additional periodic orthodontic treatment visits beyond 24 will be the orthodontist’s financial responsibility and not the Subscriber’s.
If a Preferred Dentist is not reasonably available when a Member requires emergency care (Palliative Treatment and/or Emergency Oral Exam), benefits will be paid based on the "In-Network" Coinsurance percentage listed in the Schedules of Benefits.
A Preferred Dentist who provides Covered Dental Services or a Contracting Vision Provider who provides Covered Vision Services is not a Contracting Provider for the purposes of this definition.
For Preferred Dentists, the Allowed Benefit payable to a Preferred Dentist for a Covered Dental Service will be the amount agreed upon between CareFirst BlueChoice and the Preferred Dentist.
In general, if a Member chooses a Preferred Dentist, the cost to the Member is lower than if the Member chooses a Non-Preferred Dentist.
In the Schedule of Benefits, the Coinsurance percentages are listed as either “In-Network” (for a Preferred Dentist) or “Out-of- Network” (for a Non-Preferred Dentist).
Since the MetLife Preferred Dentist Program is a freedom-of-choice PPO program, there is no primary care physician.
Dentists participating in the MetLife Preferred Dentist Program have agreed to limit their charge for a dental service to the Maximum Allowed Charge for such service.
The MetLife Preferred Dentist Program does not provide dental services.